Individual
DR. SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56521
CT
207RS0010X
Sports Medicine (Internal Medicine) Physician
56521
CT
207X00000X
Orthopaedic Surgery Physician
Primary
56521
CT
208000000X
Pediatrics Physician
56521
CT
2080S0010X
Pediatric Sports Medicine Physician
56521
CT
Other
Enumeration date
05/08/2013
Last updated
06/12/2023
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