Individual
ROXANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
100 HOLLYWOOD AVE, HILLSIDE, NJ 07205-2409
(908) 353-7949
(908) 353-8374
Mailing address
100 HOLLYWOOD AVE, HILLSIDE FAMILY PRACTICE, HILLSIDE, NJ 07205-2409
(908) 353-7949
(908) 353-8374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00086300
NJ
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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