Individual
JEFFREY SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5817
(617) 732-4918
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5817
(617) 732-4918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1015203
MA
390200000X
Student in an Organized Health Care Education/Training Program
PG193368
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/25/2019
Last updated
08/30/2023
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