Individual
CYNTHIA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N. 39TH STREET, PHILADELPHIA, PA 19104-2640
(215) 662-9990
Mailing address
51 N. 39TH STREET, PHILADELPHIA, PA 19104-2640
(215) 662-9990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD070643L
PA
208M00000X
Hospitalist Physician
MD070643L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001943315
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/19/2006
Last updated
12/29/2011
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