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Individual

DEREK R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE TOWNE PARK PLAZA, NORWICH, CT 06360
(860) 886-1433
(860) 886-4644
Mailing address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 886-1433
(860) 886-4644

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
43390
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001433903
CT
Enumeration date
08/14/2006
Last updated
07/19/2018
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