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Individual

DR. HENRY F SMITH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8 WEST BROAD STREET, SUITE 430, HAZLETON, PA 18201
(570) 501-1334
(570) 270-6175
Mailing address
PO BOX 1347, KINGSTON, PA 18704-0347
(570) 288-8881
(570) 288-8065

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD038238E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011788090003
PA
Enumeration date
06/05/2006
Last updated
04/23/2014
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