Individual
DR. THOMAS J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BLALOCK 369, BALTIMORE, MD 21287-0005
(410) 955-2091
(410) 955-2098
Mailing address
P.O. BOX 64474, BALTIMORE, MD 21264-4474
(410) 955-2091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101037893
VA
207RX0202X
Medical Oncology Physician
0101037893
VA
207RX0202X
Medical Oncology Physician
Primary
D33249
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6081738
—
VA
Enumeration date
10/13/2006
Last updated
10/05/2011
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