Organization
DAVID J SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J SMITH MD (OWNER)
(609) 823-8488
Entity
Organization
Contact information
Practice address
4807 ATLANTIC AVE, VENTNOR, NJ 08406
(609) 823-8488
(609) 823-1787
Mailing address
4807 ATLANTIC AVE, VENTNOR, NJ 08406
(609) 823-8488
(609) 823-1787
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02945300
NJ
207W00000X
Ophthalmology Physician
MD015011E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696801
—
NJ
Enumeration date
12/19/2006
Last updated
01/14/2008
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