Individual
SEAN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
PO BOX 412138, BOSTON, MA 02241-3001
(913) 276-5582
Mailing address
65 BERGEN ST, NEWARK, NJ 07107-3001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01025100
NJ
Other
Enumeration date
07/22/2024
Last updated
07/31/2025
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