Individual
DR. PETER L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 E 29TH ST, VASCULAR CENTER, BAYONNE, NJ 07002-4654
(201) 858-4590
(201) 243-4229
Mailing address
PO BOX 17288, JERSEY CITY, NJ 07307-7288
(201) 858-4590
(201) 243-4229
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
216454-01
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MA06884700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8010803
—
NJ
Enumeration date
06/14/2005
Last updated
12/10/2019
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