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Ivan Smalls

NPI 1780338699 · on the registry since 2022

Practice

Address
86 S Harrison St
East Orange, NJ 07018
Phone
(973) 324-7891
Organisation at this address
Bright Future Pediatrics
Center For Family Services, Inc.
Family Intervention Services Inc
Family Intervention Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
65

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101Y00000X
101Y00000X
103K00000X
104100000X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey