Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 146038 | NY |
N | 207VX0201X | Gynecologic Oncologist | 25MA05770100 | NJ |
N | 207VX0201X | Gynecologic Oncologist | MA57701 | NJ |
NPI | 1326009382 |
---|---|
Provider Name | Daniel H. Smith |
First Address | Teaneck, NJ 07666-0000 |
Second Address | Teaneck, NJ 07666-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2006 |
Last Update Date | 31/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3822303 | (05) | NJ |
C10699 | (02) |