Organization
CHRISTINA M SMILLIE, MD
Active
Other names
Breastfeeding Resources
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M SMILLIE MD (MD)
(203) 375-5812
Entity
Organization
Contact information
Practice address
2505 MAIN ST, SUITE 223, STRATFORD, CT 06615-5839
(203) 375-5812
(203) 375-6027
Mailing address
2505 MAIN ST, SUITE 223, STRATFORD, CT 06615-5839
(203) 375-5812
(203) 375-6027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
035447
CT
208000000X
Pediatrics Physician
Primary
022205
CT
208000000X
Pediatrics Physician
037361
CT
208000000X
Pediatrics Physician
050885
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001222059-00
ANTHEM MEDICAID
CT
Enumeration date
05/01/2007
Last updated
04/23/2014
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