Individual
DR. BRENDAN JAMES SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD/ MD
Contact information
Practice address
311 PENNINGTON ROCKY HILL RD, PENNINGTON, NJ 08534-2130
(609) 818-4824
Mailing address
4025 FLORA PL, SAINT LOUIS, MO 63110-3603
(610) 209-8740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.114418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.114418
IL STATE MEDICAL LICENSE
IL
Enumeration date
12/02/2014
Last updated
12/02/2014
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