Organization
MARY M SMYTH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M SMYTH MD (PHYSICIAN)
(508) 674-3500
Entity
Organization
Contact information
Practice address
1030 PRESIDENT AVE, SUITE 302, FALL RIVER, MA 02720
(508) 674-3500
(508) 674-3535
Mailing address
PO BOX 9503, FALL RIVER, MA 02720
(508) 674-3500
(508) 674-3535
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
082086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3148335
—
MA
Enumeration date
09/19/2007
Last updated
01/02/2008
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