Individual
RICHARD D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 963-6390
(860) 963-6343
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 963-6390
(860) 963-6343
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
XS49444486
MA
208000000X
Pediatrics Physician
Primary
045662
CT
208000000X
Pediatrics Physician
MD7534
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001347
—
RI
Enumeration date
04/22/2006
Last updated
04/04/2017
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