Individual
JOHN JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
946 AVENUE C, BAYONNE, NJ 07002-3026
(201) 339-2300
(201) 339-9922
Mailing address
946 AVENUE C, BAYONNE, NJ 07002-3026
(201) 339-2300
(201) 339-9922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA66625
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4751701
—
NJ
Enumeration date
03/28/2006
Last updated
03/26/2014
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