Individual
IAN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17 MAIN ST STE 103, ROBBINSVILLE, NJ 08691-1438
(609) 392-6366
(732) 463-5503
Mailing address
17 MAIN ST STE 103, ROBBINSVILLE, NJ 08691-1438
(609) 392-6366
(732) 463-5503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB12647400
NJ
Other
Enumeration date
03/28/2022
Last updated
10/03/2025
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