Individual
DR. CAROLE J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 RIVERSIDE DR, PEMBROKE, MA 02359-1937
(781) 826-8065
(781) 826-8043
Mailing address
28 RIVERSIDE DR, PEMBROKE, MA 02359-1937
(781) 826-8065
(781) 826-8043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220572
MA
207Q00000X
Family Medicine Physician
282496
NY
207Q00000X
Family Medicine Physician
MD15209
RI
207Q00000X
Family Medicine Physician
MD20873
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071380
—
MA
01
—
469458
TUFTS HEALTH PLAN
MA
01
—
AA15512
HARVARD PILGRIM
MA
01
—
J27786
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/16/2006
Last updated
02/22/2016
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