1689964462

Everything you always wanted to know about SMITH J KATRINA P.A. but were afraid to ask.

SMITH J KATRINA P.A.

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
SMITH J KATRINA P.A.
Gender:
Female
Enumeration date:
2011-04-13
Last update date:
2017-09-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
FB469U Other QSS SCS PTAN DC
FB469Z Medicare PIN none FL

Taxonomies

Taxonomy State License Number Primary?
363AS0400X Surgical FL PA9105946 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 9738268080
Mailing Address Telephone Number (973) 826-8080
Mailing Address Fax Number 8889726480
Practice Location Address Fax Number 8889726480

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 4059 WAYNE NJ 7474 NJ
Practice Location Address 4215 EDGEWATER DR ORLANDO FL 0 FL

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NPI Name Address State City
1013342484 QUALIFIED SURGICAL SERVICES PL
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1205075470 HENRY, RICKI
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1275571234 KOPELOVE, PAMELA
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1295978930 FRANCIS, MARJORIE
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1356357438 SHARMA, RAJINDER
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4215 EDGEWATER DR FL ORLANDO
1437144953 CHAPMAN, RICHARD
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1487730719 SANTOS, NORMAN
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1548255045 SZARZANOWICZ, JEFFREY
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1558422766 MATSOUK, ROMAN
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695 US HIGHWAY 46 NJ FAIRFIELD
1568816528 MANROE, STACY
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1669689964 VALANE, HONORA
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1689817652 PIERREPIERRE, DARLENE
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695 US HIGHWAY 46 STE 400A NJ FAIRFIELD
1730308099 NICOLAS, FELIX
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1750309506 SMITH, ROBERT
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1400 CREEK WAY DR TX SUGAR LAND
1770997603 QUALIFIED SURGICAL SERVICES PL
Organization
3697 CAMERON DR NE WA LACEY
1871908376 MEDICAL QUALIFIED SERVICE OF S
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404 POTTER BLVD NY BRIGHTWATERS
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Organization
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1962787986 DALSANIA, SWETA
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1992906432 FUNICELLO, ALEX
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4215 EDGEWATER DR FL ORLANDO
1366815870 LAUBE, ANGELA
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4215 EDGEWATER DR FL ORLANDO
1669687091 STRAUSS, WARREN
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901 W MAIN ST NJ FREEHOLD

Other NPI Records that share an address

NPI Name Address State City
1023281664 OPONT, CARLO
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1043272255 HAMMOOR, MICHAEL
Individual
4215 EDGEWATER DR FL ORLANDO
1063406874 WELSH, MARY
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1073551800 COHEN, BARRY
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1093012650 SA HEALTHCARE PHYSICIANS,LLC
Organization
145 ROUTE 46 W NJ WAYNE
1205075470 HENRY, RICKI
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1235129669 REICH, STUART
Individual
225 EASTERN PKWY NY BROOKLYN
1275571234 KOPELOVE, PAMELA
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1295780682 CUOZZO, ROSALIE
Individual
145 US HIGHWAY 46 NJ WAYNE
1295978930 FRANCIS, MARJORIE
Individual
695 US HIGHWAY 46 STE 400A NJ FAIRFIELD
1356357438 SHARMA, RAJINDER
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1356533624 SURGAIDE 2 LLC
Organization
145 ROUTE 46 W NJ WAYNE
1366658478 LOHMAN, MICHELE
Individual
145 US HIGHWAY 46 NJ WAYNE
1366815870 LAUBE, ANGELA
Individual
4215 EDGEWATER DR FL ORLANDO
1376507582 MILLER, JOY
Individual
4215 EDGEWATER DR FL ORLANDO
1407076862 ELMANSOURY, HASSAN
Individual
695 US HIGHWAY 46 NJ FAIRFIELD
1437363314 RUGGIERO, BLENDA
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145 US HIGHWAY 46 NJ WAYNE
1447373907 LAZZARO, MYRA
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695 US HIGHWAY 46 NJ FAIRFIELD
1457698805 SURGERY SERVICES
Organization
504 VALLEY RD NJ WAYNE
1477599124 VIDAL, KAREN
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4215 EDGEWATER DR FL ORLANDO
1487730719 SANTOS, NORMAN
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695 ROUTE 46 W NJ FAIRFIELD
1518929207 NGO, HEATHER
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4215 EDGEWATER DR FL ORLANDO
1558422766 MATSOUK, ROMAN
Individual
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1629466123 MEDICAL QUALIFIED SERVICE OF S
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225 EASTERN PKWY NY BROOKLYN
1669689964 VALANE, HONORA
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695 US HIGHWAY 46 NJ FAIRFIELD
1730308099 NICOLAS, FELIX
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695 US HIGHWAY 46 NJ FAIRFIELD
1740398775 SHAH, VINODKUMAR
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1790928273 JANUSZ, ROBERT
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1962787986 DALSANIA, SWETA
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1972710366 GUENA, LUISA
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695 US HIGHWAY 46 NJ FAIRFIELD
1982935987 CAREY, LUKE
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1164417010 NGUYEN, KHANH
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1184909905 HENRIQUEZ, VICTORIA
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1205820206 ABATE, EDMUND
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1225022239 STEELE, JOHN
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1407884950 BAKER, KENNETH
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1457345449 KONDOR, CHRISTOPHER
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