Individual
CRAIG S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF CARDIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3452
(774) 441-7657
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
226437
MA
207RI0011X
Interventional Cardiology Physician
Primary
226437
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041905A
—
MA
05
—
2113490
—
MA
Enumeration date
04/27/2006
Last updated
11/14/2020
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