Organization
SMITH INTERNAL MEDICINE GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN F SMITH MD (PRESIDENT CEO)
(401) 521-2002
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVE, SUITE 203, PROVIDENCE, RI 02906-2740
(401) 521-2002
(401) 521-0906
Mailing address
100 HIGHLAND AVE, SUITE 203, PROVIDENCE, RI 02906-2740
(401) 521-2002
(401) 521-0906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004024
—
RI
Enumeration date
07/05/2006
Last updated
08/22/2020
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