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Individual

DR. ROBERT S. SMITH

Active
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Individual

DR. ROBERT S. SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POO351
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004271631
AETNA ID#
CT
01
—
003935
HEALTHNET
CT
01
—
030000351CT03
BLUE CROSS PROVIDER #
CT
01
—
061364754
PRIVATE INSURANCE /TAX ID
CT
05
—
4078037
—
CT
01
—
4800009600
RAILROAD MEDICARE ID#
CT
01
—
6320755
CIGNA ID#
CT
Enumeration date
09/07/2005
Last updated
12/11/2007
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