Individual
DR. EDWARD R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
161140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010970
VT MEDICAID
VT
01
—
30203759
MEDICAID HEALTH KIDS
NH
01
—
3159607
AETNA
MA
01
—
710422
TUFTS HEALTH
MA
05
—
9757597
—
MA
01
—
AA8312
HARVARD PILGRIM HEALTH
MA
01
—
M14829
BCBS
MA
Enumeration date
01/26/2006
Last updated
04/17/2018
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