Individual
EMILY JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(844) 744-4200
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5941
MA
363AM0700X
Medical Physician Assistant
PA5941
MA
Other
Enumeration date
10/06/2016
Last updated
02/02/2024
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