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Individual

DONALD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 TER HEUN DRIVE, FALMOUTH HOSPITAL, FALMOUTH, MA 02540
(508) 457-3748
(508) 457-3749
Mailing address
25 COMMUNICATION WAY, HYANNIS, MA 02601
(508) 957-8664
(508) 957-8677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226421
MA
207R00000X
Internal Medicine Physician
L0939
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147043702
TX
01
J29309
BCBS
MA
Enumeration date
08/09/2005
Last updated
04/14/2010
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