Individual
ERIC N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
46 BARRA RD STE 103, BIDDEFORD, ME 04005-9461
(207) 283-1126
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1275
ME
363AS0400X
Surgical Physician Assistant
Primary
PA001275
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447547864
—
ME
Enumeration date
07/06/2011
Last updated
04/01/2019
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