Organization
CATHERINE S SMITH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE S SMITH MD,FACOG,RDMS (OWNER)
(570) 963-9474
Entity
Organization
Contact information
Practice address
401 ADAMS AVE, SUITE 306, SCRANTON, PA 18510-2025
(570) 963-9470
(570) 963-9471
Mailing address
401 ADAMS AVE, SUITE 306, SCRANTON, PA 18510-2025
(570) 963-9470
(570) 963-9471
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD037808E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011010440002
—
PA
01
—
1426109
BLUE SHIELD PROVIDER NUMB
PA
01
—
161241
NY STATE MEDICAL LICENSE
NY
01
—
MD037808E
PA MEDICAL LICENSE NUMBER
PA
01
—
ME04113831516
PA MEDICAL EDUCATION NUMB
PA
Enumeration date
02/08/2007
Last updated
08/27/2007
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