Individual
JAMES M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1904 ATLANTIC AVENUE, MANASQUAN, NJ 08736-1006
(732) 528-1010
(732) 528-2139
Mailing address
66 W GILBERT ST, SUITE 100, RED BANK, NJ 07701-4918
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0150041
NY
225100000X
Physical Therapist
Primary
40QA00665400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00332998
RR MEDICARE
NJ
Enumeration date
06/09/2006
Last updated
02/03/2009
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