Organization
SMITH MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JASON SMITH M.D. (VICE-PRESIDENT)
(215) 668-4613
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, MOB EAST #450, WYNNEWOOD, PA 19096-3450
(610) 896-0648
(610) 642-1690
Mailing address
100 E LANCASTER AVE, MOB EAST #450, WYNNEWOOD, PA 19096-3450
(610) 896-0648
(610) 642-1690
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD427776
PA
Other
Enumeration date
07/09/2012
Last updated
02/24/2017
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