Individual
DR. CHRISTINA MARY SMILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2505 MAIN ST, SUITE 223, STRATFORD, CT 06615-5839
(203) 375-5812
Mailing address
2505 MAIN ST, SUITE 223, STRATFORD, CT 06615-5839
(203) 375-5812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22205
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22205
MEDICAL LICENSE
CT
01
—
9598
CONTROLLED SUBSTANCE REG
CT
Enumeration date
12/19/2006
Last updated
03/07/2023
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