Individual
DYLAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3834
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101271683
VA
390200000X
Student in an Organized Health Care Education/Training Program
MT213011
PA
Other
Enumeration date
06/05/2017
Last updated
09/26/2022
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