Individual
DR. DANIEL BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
PO BOX 412138, BOSTON, MA 02241-2138
(732) 321-7502
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA0784000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01954
MEDICARE PTAN
NJ
05
—
77879
—
NJ
Enumeration date
04/28/2006
Last updated
02/03/2025
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