Individual
MARY-ELISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 NORTH MAIN STREET, CHARLTON, MA 01507
(508) 248-1770
(208) 248-1769
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82206
MA
Other
Enumeration date
02/28/2006
Last updated
10/08/2015
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