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Individual

RAYMOND L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2603 KEISER BLVD, SUITE 204, WYOMISSING, PA 19610-3341
(484) 628-3939
(484) 628-3940
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD009512E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102124609
PA
Enumeration date
04/15/2008
Last updated
06/04/2013
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