Individual
SMITA N VAZARKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4924 CAMPBELL BLVD STE 200, NOTTINGHAM, MD 21236
(443) 442-2300
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D50721
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022004300
—
MD
05
—
522000900
—
MD
Enumeration date
08/29/2006
Last updated
06/05/2018
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