Individual
ROBERT T SMITH
Active
Individual
ROBERT T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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