Individual
DR. CALDWELL WITHERS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 EDDY ST, PROVIDENCE, RI 02903-4928
(401) 274-5844
(401) 274-9462
Mailing address
690 EDDY ST, PROVIDENCE, RI 02903-4928
(401) 274-5844
(401) 274-9462
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
38194
MA
207W00000X
Ophthalmology Physician
Primary
MD5399
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614552
—
MA
05
—
7000375
—
RI
Enumeration date
06/23/2005
Last updated
09/20/2011
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