Smith, Peter L

Smith, Peter L is an individual health care provider with primary practice located at 29 E 29Th St Vascular Center, Bayonne NJ 07002-4654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Smith, Peter L can be contacted via phone (201) 858-4590.

Contact Information

Primary practice address
29 E 29Th St Vascular Center Bayonne NJ 07002-4654
Phone: (201) 858-4590
Fax: (201) 243-4229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 216454-01 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MA06884700 New Jersey

Profile Details

NPI number 1861497224
LBN Legal business name Smith, Peter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Dec 10th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861497224 NPPES
New Jersey MEDICAID 8010803

Popular Providers