Organization
FAMILY PRACTICE ASSOCIATES OF KING OF PRUSSIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE A. SMITH M.D. (PRESIDENT)
(610) 265-8566
Entity
Organization
Contact information
Practice address
625 CLARK AVE, SUITE 13, KING OF PRUSSIA, PA 19406-1438
(610) 265-8566
(610) 878-2620
Mailing address
625 CLARK AVE, SUITE 13, KING OF PRUSSIA, PA 19406-1438
(610) 265-8566
(610) 878-2620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07806707
—
PA
01
—
0963788001
KEYSTONE HEALTH PLAN EAST
PA
01
—
138009
AETNA
PA
01
—
6116665
CIGNA
PA
Enumeration date
05/17/2006
Last updated
01/03/2008
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