Individual
CARLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6TH AVE AND SPRUCE STREET, WEST READING, PA 19611-1412
(610) 568-3637
(610) 988-5252
Mailing address
6TH AVE AND SPRUCE STREET, WEST READING, PA 19611-1412
(610) 568-3637
(610) 988-5252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053361
PA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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