Individual
A. MITCHELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 TOWNSHIP LINE RD, SUITE A, ELKINS PARK, PA 19027-2202
(215) 663-1188
(215) 663-9152
Mailing address
401 TOWNSHIP LINE RD, SUITE A, ELKINS PARK, PA 19027-2202
(215) 663-1188
(215) 663-5898
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD010240E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000641202006
—
PA
Enumeration date
10/12/2006
Last updated
10/10/2014
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