Individual
DR. JOHN E SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 MEMORIAL PARKWAY SUITE 102, HILLCREST PROFESSIONAL PLAZA, PHILLIPSBURG, NJ 08865-2774
(908) 454-0370
(908) 454-9858
Mailing address
10 BRASS CASTLE RD, WASHINGTON, NJ 08865-4327
(908) 454-0370
(908) 454-9858
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA073316
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167146
HORIZON NJ HEALTH
—
01
—
1406833
AMERIHEALTH
—
01
—
2094464000
KEYSTONE HEALTHPLAN EAST
—
01
—
222144152
INTERGROUP
—
01
—
2807974
AETNA PROVIDER NUMBER
—
01
—
50001283
CAPITAL BLUE CROSS
—
01
—
7100340
AETNA PPO
—
05
—
8828105
—
NJ
01
—
9922910-003
CIGNA HEALTHCARE
—
Enumeration date
10/12/2005
Last updated
02/20/2015
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