Individual
DIONNE K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 ATLANCTIC ST, STAMFORD, CT 06902
(203) 327-5111
(203) 327-2991
Mailing address
805 ATLANTIC ST, STAMFORD, CT 06902-6805
(203) 327-5111
(203) 327-2991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046795
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046795
STATE LICENSE
CT
Enumeration date
07/24/2008
Last updated
02/09/2015
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