Organization
CHERYL E. SMITH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL EVETTE SMITH MD (PRESIDENT)
(856) 881-0665
Entity
Organization
Contact information
Practice address
15 HIGH ST E, GLASSBORO, NJ 08028-2595
(856) 881-0665
(856) 881-1449
Mailing address
15 HIGH ST E, GLASSBORO, NJ 08028-2595
(856) 881-0665
(856) 881-1449
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
25MA04238400
NJ
207ZH0000X
Hematology (Pathology) Physician
25MA04238400
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04238400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010835000
AMERIHEALTH
NJ
05
—
2392704
—
NJ
01
—
35552
AETNA
NJ
Enumeration date
09/25/2007
Last updated
09/25/2007
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