Individual
SMITA S MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-8256
(570) 645-8875
Mailing address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-8256
(570) 645-8875
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD034814L
PA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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