Individual
DR. JEAN F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 N MAIN ST, SUITE B-1, PROVIDENCE, RI 02904-5752
(401) 521-2002
(401) 521-6862
Mailing address
909 N MAIN ST, SUITE B-1, PROVIDENCE, RI 02904-5752
(401) 521-2002
(401) 521-6862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9167
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406842
UH
—
01
—
200570126
TRICARE
—
01
—
290865
BC
—
01
—
3009811
AETNA
—
01
—
400494
BLUE CHIP
—
01
—
406229
TUFTS
—
01
—
898538800
CIGNA
—
05
—
9004024
—
RI
01
—
A53896
HARVARD PILGRIM
—
Enumeration date
07/05/2006
Last updated
01/03/2011
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