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Individual

ELIOT JAY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
73 CORPORATE DR, SUITE 100, PORTSMOUTH, NH 03801-2847
(603) 610-8051
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 610-8051

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6116
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3078529
NH
Enumeration date
11/03/2006
Last updated
12/09/2016
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