| John Joseph Smith Md Pc | |
|
946 Avenue C Bayonne NJ 07002-3026 | |
| (201) 339-2300 | |
| (201) 339-9922 |
| Full Name | John Joseph Smith Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 946 Avenue C, Bayonne, New Jersey |
| Authorized Official Name and Position | John Joseph Smith (OWNER) |
| Authorized Official Contact | 2013392300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Joseph Smith Md Pc 946 Avenue C Bayonne NJ 07002-3026 Ph: (201) 339-2300 | John Joseph Smith Md Pc 946 Avenue C Bayonne NJ 07002-3026 Ph: (201) 339-2300 |
| NPI Number | 1255536488 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 10/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255536488 | NPI | - | NPPES |
| 4751701 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA06662500 (New Jersey) | Primary |
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