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Individual

CHRISTOPHER D. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
196 PARKWAY S, SUITE 201, WATERFORD, CT 06385-1219
(860) 440-0688
(860) 437-0318
Mailing address
196 PARKWAY S, SUITE 201, WATERFORD, CT 06385-1219
(860) 440-0688
(860) 437-0318

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001562
CT
363AM0700X
Medical Physician Assistant
001562
CT

Other

Enumeration date
02/14/2006
Last updated
04/05/2017
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