Organization
LIBERTY ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SMOK MD (DIRECTOR)
(201) 871-0684
Entity
Organization
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 871-6073
(201) 871-0619
Mailing address
375 ENGLE ST, SECOND FLOOR, ENGLEWOOD, NJ 07631-1823
(201) 871-0684
(201) 871-0619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036650
—
NJ
Enumeration date
05/07/2006
Last updated
10/19/2007
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