Organization
ALVA D SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVA D SMITH MD (PRESIDENT)
(570) 759-5491
Entity
Organization
Contact information
Practice address
751 E 16TH ST, SUITE 200, BERWICK, PA 18603-2321
(570) 759-5491
(570) 759-5495
Mailing address
751 E 16TH ST, SUITE 200, BERWICK, PA 18603-2321
(570) 759-5491
(570) 759-5495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019024200002
—
PA
01
—
1379115
PA BLUE SHIELD
—
Enumeration date
06/06/2006
Last updated
07/25/2016
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