Individual
MR. CHRISTOPHER R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 LIVINGSTON ROAD, FORT WASHINGTON, MD 20744
(301) 317-0020
(301) 317-0028
Mailing address
PO BOX 639, LAUREL, MD 20725
(301) 317-0020
(301) 317-0028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D22646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BLUE CROSS BLUE SHIELD
DC
01
—
60677601
BLUE CROSS BLUE SHIELD
MD
01
—
P00150234
RAILROAD MEDICARE
—
Enumeration date
01/24/2007
Last updated
10/11/2011
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