Individual
SMART E UKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
(856) 757-3988
(856) 365-7868
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA081082090
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08943300
CDS
NJ
Enumeration date
10/05/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us