Individual
ROBERT T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, COOPER UNIVERSITY RADIOLOGY, CAMDEN, NJ 08103-1461
(856) 342-2480
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06567500
NJ
2085R0202X
Diagnostic Radiology Physician
MD060873L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000554503
AMERICHOICE
NJ
01
—
1597236
AETNA
NJ
01
—
1711378
CIGNA
NJ
01
—
1813102
UNITED HEALTHCARE
NJ
01
—
2853540000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
60033720
HORIZON NJ HEALTH
NJ
05
—
7388403
—
NJ
Enumeration date
06/02/2006
Last updated
05/07/2008
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