Individual
EMILY KATHRYN DICONZA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
59 EASTWOOD CIR, GARDNER, MA 01440-3901
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1552
NH
363A00000X
Physician Assistant
PA4953
MA
Other
Enumeration date
03/07/2014
Last updated
10/03/2025
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