Smith, Clive N

Smith, Clive N is an individual health care provider with primary practice located at 279 3Rd Ave Suite 502, Long Branch NJ 07740-6205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Clive N can be contacted via phone (732) 222-8865.

Contact Information

Primary practice address
279 3Rd Ave Suite 502 Long Branch NJ 07740-6205
Phone: (732) 222-8865
Fax: (732) 222-8312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA021939 New Jersey

Profile Details

NPI number 1700849296
LBN Legal business name Smith, Clive N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700849296 NPPES
Other 0004234549 AETNA
Other P55428738 AETNA
Other F13498 AETNA
Other P675693 AETNA
Other 0090195000 AETNA
MEDICAID 2721309 AETNA

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