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Individual

ROGER MCDONNELL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4125 LANDISVILLE RD, DOYLESTOWN, PA 18902
(215) 348-2368
(215) 348-8650
Mailing address
4125 LANDISVILLE RD, DOYLESTOWN, PA 18902
(215) 348-2368
(215) 348-8650

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD009371E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000019026
HIGHMARK BLUE SHIELD
01
058287
VALUE OPTIONS
01
229465
COMPSYCH
01
283220
MAMSI
01
290870
MHN
01
4100632
AETNA
01
463825000
MAGELLAN
01
BUS089
OXFORD
Enumeration date
04/22/2006
Last updated
09/10/2012
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