Provider Demographics
NPI:1578724324
Name:SMITH, JASON ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:ANTHONY
Last Name:SMITH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:120 WHITE HORSE PIKE STE 112
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1994
Mailing Address - Country:US
Mailing Address - Phone:856-547-0539
Mailing Address - Fax:
Practice Address - Street 1:243 HURFFVILLE CROSSKEYS RD STE 101
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4011
Practice Address - Country:US
Practice Address - Phone:856-582-2000
Practice Address - Fax:856-582-2061
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08676100207RC0000X, 207UN0901X
PAOS013817207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology