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Individual

ELLEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
(866) 949-0108
Mailing address
1265 PATERSON PLANK RD STE 2D-2E, SECAUCUS, NJ 07094-3242
(201) 556-1225

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01057900
NJ

Other

Enumeration date
09/30/2020
Last updated
03/16/2022
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