Individual
MONICA E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 LONG POND DRIVE, HARWICH, MA 02645
(508) 432-4100
(508) 432-8951
Mailing address
25 COMMUNICATIONS WAY, MACC - REVENUE CYCLE, HYANNIS, MA 02601-1866
(508) 957-8664
(508) 957-8677
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
231540
MA
207RX0202X
Medical Oncology Physician
MD034768E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010795510002
—
PA
01
—
0076291000
INDEPENDENCE BLUE CROSS
PA
01
—
070408
PA BLUE SHIELD
PA
Enumeration date
06/03/2006
Last updated
05/03/2010
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