Individual
DR. MAASI JACOB SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25 BALA AVE STE 105, BALA CYNWYD, PA 19004-3214
(215) 665-9225
(215) 665-9242
Mailing address
12 WILSHIRE BLVD, SWEDESBORO, NJ 08085-2579
(215) 665-9225
(215) 665-9242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004747-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01892600
—
PA
Enumeration date
06/21/2006
Last updated
08/05/2021
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