Individual
BARRY R SMOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3005
(215) 662-7011
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3005
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD021778E
PA
2085N0904X
Nuclear Radiology Physician
MD021778E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00909130
—
PA
Enumeration date
05/18/2006
Last updated
05/22/2012
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