Organization
J. GERALD SMITH, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. GERALD SMITH MD (OWNER PHYSICIAN)
(401) 738-4074
Entity
Organization
Contact information
Practice address
390 TOLL GATE RD, SUITE 101, WARWICK, RI 02886-4326
(401) 737-2280
Mailing address
390 TOLL GATE RD, SUITE 101, WARWICK, RI 02886-4326
(401) 737-2280
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD04196
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002183
—
RI
Enumeration date
09/22/2006
Last updated
09/23/2010
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