Organization
JOAN SMITH, D.O. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN SMITH D.O. (PHYSICIAN)
(410) 334-3805
Entity
Organization
Contact information
Practice address
31664 OLD OCEAN CITY RD, SALISBURY, MD 21804-1800
(410) 334-3805
(410) 860-5191
Mailing address
31664 OLD OCEAN CITY RD, SALISBURY, MD 21804-1800
(410) 334-3805
(410) 860-5191
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H0048286
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
669500100
—
MD
01
—
916Q
MEDICARE, PTAN
MD
Enumeration date
06/30/2010
Last updated
07/13/2010
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