Individual
MR. TIMOTHY C SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
10 NORTH GREEN STREET, VETERAN AFFAIRS MEDICAL CENTER, BALTIMORE, MD 21201
(410) 605-7000
(410) 605-7724
Mailing address
PO BOX 526, JARRETTSVILLE, MD 21084
(410) 557-6019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000226
MD
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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