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Provider Information for 1063736957

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DR. JOSHUA A SMILOW D.M.D

Gender: MALE

Individual NPI: 1063736957

Calendar Last Updated: 2010-03-21

Details

Name Value
NPI 1063736957
Enumeration Date 2010-03-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 49A MOUNTAIN AVE
SPRINGFIELD, NJ 07081-1753
United States

Phone: 516-641-5113 | Fax:
View Map External Link
Primary Practice Address 30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
United States

Phone: 201-996-2111 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ 22DI02434600