Provider Demographics
NPI:1407872369
Name:SMIRES, HARVEY E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:E
Last Name:SMIRES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FORRESTAL ROAD SOUTH
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6658
Mailing Address - Country:US
Mailing Address - Phone:609-750-1600
Mailing Address - Fax:609-750-1611
Practice Address - Street 1:8 FORRESTAL ROAD SOUTH
Practice Address - Street 2:SUITE 104
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6658
Practice Address - Country:US
Practice Address - Phone:609-750-1600
Practice Address - Fax:609-750-1611
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05135200207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ157714ACDMedicare ID - Type Unspecified
NJE13192Medicare UPIN