Individual
DR. JARED CHRISTOPHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7697
(718) 590-1800
Mailing address
315 MOUNT EDEN PKWY APT 3A, BRONX, NY 10457-7158
(706) 491-4428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11523900
NJ
Other
Enumeration date
05/22/2019
Last updated
08/10/2022
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