Individual
WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 015-2000
Mailing address
21 NEPTUNE RD, TOMS RIVER, NJ 08753-2030
(973) 936-4728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00626900
NJ
Other
Enumeration date
06/23/2021
Last updated
07/12/2021
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