Individual
MRS. MONIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 STORMS AVE, JERSEY CITY, NJ 07306-4727
(201) 892-0879
Mailing address
124 STORMS AVE, JERSEY CITY, NJ 07306-4727
(201) 892-0879
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
32WD01656500
NJ
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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