Individual
JACOB ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7125 13TH PL NW, WASHINGTON, DC 20012-2351
(202) 545-2900
Mailing address
12211 PLUM ORCHARD DR STE 200, SILVER SPRING, MD 20904-7906
(301) 572-3514
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD500002824
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
06/22/2024
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