Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 238180 | NY |
NPI | 1023277829 |
---|---|
Provider Name | Arien Javon Smith |
First Address | East Brunswick, NJ 08816-1259 |
Second Address | East Brunswick, NJ 08816-1259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 18/05/2021 |