Provider Demographics
NPI:1467632349
Name:SMOLARZ, BRIAN GABRIEL (MD, MSB)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:GABRIEL
Last Name:SMOLARZ
Suffix:
Gender:M
Credentials:MD, MSB
Other - Prefix:DR
Other - First Name:B.GABRIEL
Other - Middle Name:
Other - Last Name:SMOLARZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MS
Mailing Address - Street 1:38 ROBBINSVILLE ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1400
Mailing Address - Country:US
Mailing Address - Phone:609-250-2766
Mailing Address - Fax:
Practice Address - Street 1:38 ROBBINSVILLE ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-1400
Practice Address - Country:US
Practice Address - Phone:609-250-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA 08502300207RE0101X
NJ25MA08502300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine