Provider Demographics
NPI:1699935098
Name:SMITH, LIAM R (MD)
Entity type:Individual
Prefix:
First Name:LIAM
Middle Name:R
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 PLAINSBORO RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1915
Mailing Address - Country:US
Mailing Address - Phone:609-936-9100
Mailing Address - Fax:609-936-9200
Practice Address - Street 1:5 PLAINSBORO RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1915
Practice Address - Country:US
Practice Address - Phone:609-936-9100
Practice Address - Fax:609-936-9200
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2013-08-05
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09337200208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery