Individual
DR. DALE BRYANSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, SUITE 130, PHILADELPHIA, PA 19114-1436
(215) 612-5250
Mailing address
3998 RED LION RD, SUITE 130, PHILADELPHIA, PA 19114-1436
(215) 612-5250
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD020641E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008955450002
—
PA
Enumeration date
08/19/2006
Last updated
07/08/2007
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