Individual
DR. GREGORY T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 E NORTH AVE, STE 400, PITTSBURGH, PA 15212-4740
(412) 322-2622
(412) 322-3093
Mailing address
490 E NORTH AVE, STE 400, PITTSBURGH, PA 15212-4740
(412) 322-2622
(412) 322-3093
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD034676E
PA
207RI0011X
Interventional Cardiology Physician
MD034676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012280070003
—
PA
01
—
610908E15
MEDICARE
PA
Enumeration date
09/07/2005
Last updated
04/25/2011
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