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Stacy Smith, A.T.,C
NPI 1912262148 · on the registry since 2012 · sole proprietor
Practice
- Address
- 80 Johnson Ave
Shabazz
Newark, NJ 07108 - Phone
- (973) 744-4113
- Organisation at this address
- Central Jersey Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey