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Individual

SMITA CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MBA, MPH

Contact information

Practice address
20 PROSPECT AVE, STE 607, HACKENSACK, NJ 07601-1962
(551) 996-8400
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA12595900
NJ
207V00000X
Obstetrics & Gynecology Physician
321357-01
NY
207VC0300X
Complex Family Planning Physician
321357-01
NY

Other

Enumeration date
03/29/2017
Last updated
05/07/2025
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