Individual
CHESTER L SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
369 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 421-6040
(570) 421-2077
Mailing address
369 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 421-6040
(570) 421-2077
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD021318E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006701240001
—
PA
01
—
083358
BLUE SHIELD
PA
Enumeration date
06/30/2005
Last updated
03/02/2020
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