Smith, Charlene Marie
Smith, Charlene Marie is an sole proprietor health care provider with primary practice located at 18 Fairview Rd , Medford NJ 08055-9116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Smith, Charlene Marie can be contacted via phone (856) 797-9178.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25 MA05076000 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD028614E | Pennsylvania |
Profile Details
| NPI number | 1790876787 |
|---|---|
| LBN Legal business name | Smith, Charlene Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Dec 31st, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790876787 | NPPES |
| New Jersey | MEDICAID | 5322502 |
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