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Individual

COLIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 S CEDAR CREST BLVD STE 405, ALLENTOWN, PA 18103-6224
(610) 402-8420
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD488259
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT223487
PENNSYLVANIA LICENSING SYSTEM (PALS)
PA
01
MT223487
PENNSYLVANIA LICENSING SYSTEM (PALS)
Enumeration date
06/15/2021
Last updated
09/12/2025
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