Individual
DR. JOANNE KAISER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
42 E LAUREL RD STE 3100-A, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-7002
Mailing address
42 E LAUREL RD STE 3100-A, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-7002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB04779800
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MB04779800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110113133
RAILROAD MEDICARE
NJ
05
—
1793004
—
NJ
Enumeration date
01/17/2006
Last updated
03/15/2024
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