Individual
DR. LEON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, STE 402, LIVINGSTON, NJ 07039-5672
(973) 322-5287
(973) 322-2309
Mailing address
PO BOX 51027, NEWARK, NJ 07101-5127
(973) 322-5287
(973) 322-2309
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA05307800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0535026000
AMERIHEALTH
NJ
01
—
160059398
RAILROAD MEDICARE
NJ
01
—
2K2133
HEALTHNET ID #
NJ
05
—
4992601
—
NJ
01
—
576E61
EMPIRE BC/BS OF NY ID #
NJ
01
—
ES274
OXFORD ID #
NJ
Enumeration date
06/01/2005
Last updated
03/25/2014
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