Individual
STEPHANIE DOMENICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PLAINSBORO ROAD, PLAINSBORO, NJ 08536-1913
(732) 780-4995
Mailing address
1 PLAINSBORO ROAD, PLAINSBORO, NJ 08536-1913
(732) 780-4995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00526000
NJ
Other
Enumeration date
06/20/2019
Last updated
10/15/2024
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