Individual
MR. CHARLES D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
23 MADISON RD STE B, FAIRFIELD, NJ 07004-2308
(833) 939-3765
Mailing address
23 MADISON RD STE B, FAIRFIELD, NJ 07004-2308
(833) 939-3765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO12443800
NJ
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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