Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MA019415 | NJ |
NPI | 1326286758 |
---|---|
Provider Name | Dr. Eugene Smith |
First Address | Norwood, NJ 07648-2401 |
Second Address | Westwood, NJ 07675-3117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2009 |
Last Update Date | 20/05/2014 |