Individual
DR. ELLYN ALLYSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
333 CITY BLVD W STE 1600, ORANGE, CA 92868-5903
(714) 456-8598
Mailing address
185 ROSEBERRY ST, FARLEY BLDG 2ND FLOOR, PHILLIPSBURG, NJ 08865-1690
(908) 847-2621
(908) 847-3045
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A160672
CA
208600000X
Surgery Physician
MT206685
PA
Other
Enumeration date
06/26/2014
Last updated
12/30/2024
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