Individual
JEFFREY DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
245 N. 15TH STREET, 6TH FLOOR, MS 427, PHILADELPHIA, PA 19102
(215) 762-7916
Mailing address
245 N 15TH ST, PHILADELPHIA, PA 19102-1198
(215) 762-7916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT019497
PA
207RP1001X
Pulmonary Disease Physician
25MB11428000
NJ
Other
Enumeration date
06/19/2019
Last updated
11/14/2025
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