Individual
CLIFTON DELOS SMITH JR.
Active
Individual
CLIFTON DELOS SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011712
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000927
ANTHEM
ME
01
—
1041270
AETNA HMO
—
01
—
110084669
RAILROAD MEDICARE
—
01
—
5201627
AETNA NON-HMO
—
01
—
D78788
HARVARD PILGRIM
—
Enumeration date
04/21/2006
Last updated
01/12/2011
Update your record
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