Individual
TARA N CASSIDY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2351
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA076258
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038423
—
NJ
01
—
01000625100
AMERICHOICE
NJ
01
—
1638938
AMERIHEALTH PPO/PA BS
NJ
01
—
2313536000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
2566254
UNITED HEALTHCARE
NJ
01
—
3565078
AETNA
NJ
01
—
39319
UNIVERSITY HEALTH PLAN
NJ
01
—
60007325
HORIZON NJ HEALTH
NJ
01
—
P3344912
OXFORD
NJ
Enumeration date
10/13/2006
Last updated
06/03/2019
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