Organization
INFECTIOUS DISEASE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON G. SMITH M.D. (PRESIDENT)
(973) 364-2682
Entity
Organization
Contact information
Practice address
189 EAGLE ROCK AVE, ROSELAND, NJ 07068-1347
(973) 364-2682
(973) 364-1430
Mailing address
PO BOX 174, ROSELAND, NJ 07068-0174
(973) 364-2682
(973) 364-1430
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2836009
—
NJ
Enumeration date
01/19/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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