Individual
BUSTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
895 RANCOCAS RD, SUITE 2, MT HOLLY, NJ 08060
(609) 261-1641
Mailing address
2221 MT VERNON, PHILADELPHIA, PA 19130
(215) 765-2555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD042180E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5395101
—
NJ
Enumeration date
09/28/2006
Last updated
07/08/2007
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