Individual
CLIVE N SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
279 3RD AVE, SUITE 502, LONG BRANCH, NJ 07740-6205
(732) 222-8865
(732) 222-8312
Mailing address
279 3RD AVE, SUITE 502, LONG BRANCH, NJ 07740-6205
(732) 222-8865
(732) 222-8312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA021939
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004234549
AETNA
—
01
—
0090195000
AMERI HEALTH
—
05
—
2721309
—
NJ
01
—
F13498
HEALTH NET
—
01
—
P55428738
MULTIPLAN
—
01
—
P675693
OXFORD
—
Enumeration date
04/07/2006
Last updated
07/08/2007
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