Individual
DR. CASSANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 BELCREST RD, KAISER PERMANENTE PRINCE GEORGE'S MEDICAL CENTER, HYATTSVILLE, MD 20782-2003
(301) 209-6000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
233998
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
D73835
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02607629
—
NY
Enumeration date
04/10/2007
Last updated
06/28/2021
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