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Individual

DR. STEPHEN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
189 EAGLE ROCK AVE, ROSELAND, NJ 07068-1347
(973) 980-0195
(973) 774-1920
Mailing address
PO BOX 54, ROSELAND, NJ 07068-0054
(973) 980-0195
(973) 774-1920

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA060236
NJ
207RI0200X
Infectious Disease Physician
MA06023600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8420301
NJ
Enumeration date
05/09/2006
Last updated
01/28/2022
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