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Individual
DR. MATTHEW JOSEPH SMITH
Active
Individual
DR. MATTHEW JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD11107
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010557
—
RI
Enumeration date
09/08/2005
Last updated
05/07/2021
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