Individual
EDDIE H SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E COULTER ST, PHILADELPHIA, PA 19144-2219
(215) 410-8925
Mailing address
111 E COULTER ST, PHILADELPHIA, PA 19144-2219
(215) 410-8925
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
MTP8951
PA
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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