Individual
IRIS B. SMYTH
Active
Individual
IRIS B. SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324418
—
MA
01
—
8301971
EVERCARE
MA
01
—
NP3093
BLUE SHIELD
MA
01
—
P00210567
RAILROAD MEDICARE
MA
Enumeration date
01/05/2007
Last updated
07/08/2007
Update your record
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