Individual
DR. MAURA SMITH-MITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1171 S CAMERON ST RM 225A, HARRISBURG, PA 17104-2594
(717) 783-3620
Mailing address
78 FAIRWAY DR, CAMP HILL, PA 17011-2064
(717) 856-0915
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD035618E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD035618E
PA. BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS, I HAVE NO MEDICARE, ETC #.
PA
Enumeration date
06/08/2010
Last updated
06/08/2010
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