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Individual

JACOB M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3300 MAIN STREET, 3RD FL, SUITE C&D, SPRINGFIELD, MA 01107
(413) 794-7394
(413) 794-7136
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
277093
MA

Other

Enumeration date
05/30/2013
Last updated
09/28/2018
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