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Individual

STACEY DIANE ELKHATIB SMIDT

Active
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Individual

STACEY DIANE ELKHATIB SMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
25MA10985100
NJ
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
25MA10985100
NJ

Other

Enumeration date
03/29/2013
Last updated
11/12/2021
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