Individual
DR. JOAN G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5839
Mailing address
110 CYPRESS ST, APT 103, BROOKLINE, MA 02445-6018
(617) 355-5839
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
158036
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114880
—
MA
Enumeration date
03/29/2006
Last updated
10/28/2015
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