Individual
DR. JUDE T. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 MAIN ST., OLEAN, NY 14760
(716) 372-0141
(716) 372-6421
Mailing address
535 MAIN ST., OLEAN, NY 14760
(716) 372-0141
(716) 372-6421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
118818
NY
207X00000X
Orthopaedic Surgery Physician
35-054531
OH
2086S0120X
Pediatric Surgery Physician
35-054531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0654706
—
OH
Enumeration date
10/03/2006
Last updated
11/22/2011
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