Individual
KENNETH SMITH JR.
Active
Individual
KENNETH SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB06618700
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MB66187
NJ
Other
Enumeration date
05/10/2006
Last updated
10/02/2018
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