Organization
INTERNAL MEDICINE OF BRIDGEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SMITH MD (PRESIDENT)
(302) 337-3300
Entity
Organization
Contact information
Practice address
8991 REDDEN RD, BRIDGEVILLE, DE 19933-4746
(302) 337-3300
(302) 337-8072
Mailing address
8991 REDDEN RD, BRIDGEVILLE, DE 19933-4746
(302) 337-3300
(302) 337-8072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000027220
—
DE
Enumeration date
01/10/2007
Last updated
08/22/2020
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