Individual
MONIKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3831
(856) 365-7773
Mailing address
123 OAKLAND AVE, AUDUBON, NJ 08106-2337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08188800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB08188800
MEDICAL LICENSE
NJ
01
—
DO9008900
STNA
NJ
01
—
OS013903
MEDICAL LICENSE
PA
Enumeration date
01/05/2007
Last updated
07/08/2007
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