Individual
DARRELL NOLAN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6269
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6269
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81430
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081430
TUFTS HEALTH CARE
MA
05
—
3151735
—
MA
01
—
J16673
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/07/2006
Last updated
07/08/2007
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