Individual
JONATHAN SMOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST FA
Contact information
Practice address
73 BALD HILL RD, NEW GLOUCESTER, ME 04260
(207) 333-0492
Mailing address
18 CALEF DR, ALTON, NH 03809-4737
(207) 333-0492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
05/21/2008
Last updated
05/10/2019
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