Doctor Name: | JOHN P SMITH |
NPI Number: | 1043389869 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 029040 |
Business Practice Address: | 1501 Broadway Suite 4 Fairlawn, NJ - 07410 |
Business Phone Number: | 2017946505 |
Business Fax Number: | 2017941167 |
Mailing Address: | 1501 Broadway, Suite 4 FAIRLAWN |
State: | NJ |
Postal Code: | 07410 |
Phone Number: | 2017946505 |
Fax Number: | 2017941167 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 029040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |