Individual
DR. SAMUEL JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 963-4646
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(801) 463-4646
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
212435
MA
207L00000X
Anesthesiology Physician
5638863-1205
UT
Other
Enumeration date
11/16/2005
Last updated
06/26/2019
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