Ebben Will Smith M.D.

NPI 1043248941 - Internal Medicine - 207R00000X

NPI Details
NPI 1043248941
Gender Male
Enumeration Date 06/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
370 GRAND AVE
SUITE 102
ENGLEWOOD NJ, 07631-4154, US
Phone (201) 567-3370
Fax
Business Location
370 GRAND AVE
SUITE 102
ENGLEWOOD NJ, 07631-4154, US
Phone (201) 567-3370
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA07606900
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According to our database, Dr. Ebben Will Smith M.D. NPI is 1043248941, taxonomy code is 207R00000X and license number is 25MA07606900, license state is located at New Jersey. Ebben Will Smith M.D. physically located at 370 Grand Ave, Englewood NJ, 07631-4154. NPI Number Ebben Will Smith M.D. has the Individual type.

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1043248941 NPI number is provided on an as is basis without warranty of any kind. 1043248941 is maintained by the National Plan & Provider Enumeration System. The contents of Ebben Will Smith M.D. are for informational purposes only.