Individual
PETER D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 MAIN ST, SUITE 100A, PHOENIXVILLE, PA 19460
(610) 935-1330
Mailing address
824 MAIN ST, SUITE 100A, PHOENIXVILLE, PA 19460-4478
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD063113L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016758040006
—
PA
Enumeration date
07/27/2006
Last updated
04/20/2011
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