Individual
JOHNELLE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1180 BEACON ST, STE 3C, BROOKLINE, MA 02446-3806
(617) 202-9222
(617) 879-0933
Mailing address
1180 BEACON ST, STE 3C, BROOKLINE, MA 02446-3806
(617) 202-9222
(617) 879-0933
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301078591
MI
Other
Enumeration date
02/07/2011
Last updated
10/11/2016
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