Individual
FAITH ESSENCE SMASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
169 PARIS AVE, NORTHVALE, NJ 07647-2028
(201) 564-7861
Mailing address
169 PARIS AVE, NORTHVALE, NJ 07647-2028
(201) 564-7861
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
18KT00649900
NJ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
18KT00649900
NJ
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
18KT00649900
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
18KT00649900
NJ
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
18KT00649900
NJ
261QP3300X
Pain Clinic/Center
Primary
18KT00649900
NJ
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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