Organization
LEON G. SMITH JR. MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON SMITH JR. MD (DELEGATED OFFICIAL)
(973) 403-1922
Entity
Organization
Contact information
Practice address
155 JEFFERSON ST, NEWARK, NJ 07105-1706
(973) 403-1922
(973) 403-1912
Mailing address
171 OLD CHESTER RD, ESSEX FELLS, NJ 07021-1624
(973) 403-1922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05307800
NJ
Other
Enumeration date
05/15/2007
Last updated
09/28/2007
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