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Individual

DAVID R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 EAST CHESTNUT HILL AVE, SUITE 201, PHILA, PA 19118
(215) 247-0900
(215) 247-7696
Mailing address
33 E CHESTNUT HILL AVE, SUITE 201, PHILADELPHIA, PA 19118-2713
(215) 247-0900
(215) 247-7696

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD041843L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006744190004
PA
Enumeration date
07/07/2006
Last updated
10/19/2012
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