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Individual

HEATHER J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1609 WOODBOURNE RD STE 101, LEVITTOWN, PA 19057
(215) 945-1500
(215) 945-9192
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005751L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011327660002
PA
01
0082923000
KEYSTONE EAST
PA
01
118864300
U.S. DEPT. OF LABOR
PA
01
1222543002
CIGNA PROVIDER ID
PA
01
137311
HIGHMARK BLUE SHIELD
PA
01
19252
UMWA
PA
01
192525879
TRICARE
PA
01
30080581
KEYSTONE FIRST
PA
01
4205346
AETNA PPO
PA
01
96496
OPERATOR'S 825 WELFARE
PA
01
P00895494
RAILROAD MEDICARE
PA
Enumeration date
01/18/2006
Last updated
08/16/2018
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