Roxanne Smith PAC

NPI 1689680779 - Physician Assistant - 363A00000X

NPI Details
NPI 1689680779
Gender Female
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 HOLLYWOOD AVE
HILLSIDE NJ, 07205-2409, US
Phone (908) 353-7949
Fax (908) 353-8374
Business Location
100 HOLLYWOOD AVE
HILLSIDE FAMILY PRACTICE
HILLSIDE NJ, 07205-2409, US
Phone (908) 353-7949
Fax (908) 353-8374
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00086300
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According to our database, Roxanne Smith PAC NPI is 1689680779, taxonomy code is 363A00000X and license number is 25MP00086300, license state is located at New Jersey. Roxanne Smith PAC physically located at 100 Hollywood Ave, Hillside NJ, 07205-2409. NPI Number Roxanne Smith PAC has the Individual type.

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1689680779 NPI number is provided on an as is basis without warranty of any kind. 1689680779 is maintained by the National Plan & Provider Enumeration System. The contents of Roxanne Smith PAC are for informational purposes only.