Individual
DEBORAH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1580 CENTER AVE, JIM THORPE, PA 18229-1012
(570) 325-2705
(484) 403-4054
Mailing address
1605 N CEDAR CREST BLVD, STE. 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-023853-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007751530001
—
PA
Enumeration date
03/31/2006
Last updated
08/15/2016
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