| Doctor Name: | DR. BRIAN L SMITH |
| NPI Number: | 1538179452 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 25MA04108000 |
| Business Practice Address: | 290 Madison Ave 2a Morristown, NJ - 079607400 |
| Business Phone Number: | 9732851999 |
| Business Fax Number: | 9733598979 |
| Mailing Address: | Po Box 149, CONVENT STATION |
| State: | NJ |
| Postal Code: | 079610149 |
| Phone Number: | 2018412041 |
| Fax Number: | 9733598979 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA04108000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |