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Individual

ROBERT C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
595 SHREWSBURY AVE, STE 103, SHREWSBURY, NJ 07702
(732) 741-5923
(732) 741-2759
Mailing address
595 SHREWSBURY AVE, STE 103, SHREWSBURY, NJ 07702-1851
(732) 741-5923
(732) 741-2759

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA067639
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0259549000
AMERIHEALTH
NJ
01
1030071
AETNA HMO
NJ
01
1099888
GHI PPO
NJ
01
340016046
RAILROAD MEDICARE
NJ
01
5464680
AETNA PPO
NJ
01
58T911
BCBS OF NY
NJ
05
7654308
NJ
Enumeration date
12/08/2005
Last updated
02/13/2014
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