Organization
J. MICHAEL SMITH, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MICHAEL SMITH MD (OWNER)
(609) 895-0770
Entity
Organization
Contact information
Practice address
3131 PRINCETON PIKE, BLDG 5, TRENTON, NJ 08648
(609) 895-0770
(609) 896-1124
Mailing address
3131 PRINCETON PIKE, BLDG 5, TRENTON, NJ 08648
(609) 895-0770
(609) 896-1124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716549001
AMERIHEALTH
NJ
01
—
142249
PA BLUE SHIELD
NJ
01
—
1K4080
HEALTHNET
NJ
01
—
564146
AETNA
NJ
01
—
MEP119
OXFORD
NJ
Enumeration date
04/23/2007
Last updated
04/20/2008
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