Individual
DR. ROSILYN TYSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 N BROAD ST, PHILADELPHIA, PA 19102-1512
(215) 568-0860
Mailing address
112 N BROAD ST, PHILADELPHIA, PA 19102-1512
(215) 568-0860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA07662300
NJ
2084P0800X
Psychiatry Physician
Primary
MD026193-E
PA
2084P0800X
Psychiatry Physician
MD026193E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120596
—
NJ
05
—
0885182
—
PA
Enumeration date
09/27/2006
Last updated
08/25/2014
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