Individual
DANIEL SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
18 HOLMES RD, LEXINGTON, MA 02420-1917
(781) 439-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ETLL-756
MA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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