Individual
BRIAN PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 724-3560
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 724-3560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD445976
PA
2086S0102X
Surgical Critical Care Physician
MD445976
PA
2086S0127X
Trauma Surgery Physician
Primary
MD445976
PA
Other
Enumeration date
07/07/2008
Last updated
11/06/2019
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