Individual
DR. CARISSA MARRIE BAKER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D70988
MD
2080P0202X
Pediatric Cardiology Physician
Primary
C1-0013525
DE
2080P0202X
Pediatric Cardiology Physician
D70988
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419944800
—
MD
Enumeration date
04/24/2008
Last updated
02/06/2020
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