Individual
STEPHEN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 SHREWSBURY ST, HOLDEN, MA 01520-1842
(508) 829-6765
(508) 829-6235
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 829-6765
(508) 829-6235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72499
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 00295
EVERCARE
—
01
—
042472266
HEALTHCARE VALUE MANAGEME
—
01
—
080129482
RAILROAD MEDICARE
—
01
—
1061437
FIRST HEALTH
—
01
—
27089
CHILDRENS MEDICAL SECURIT
—
01
—
3100171
MEDICAID WELFARE
—
01
—
5685498
AETNA US HEALTHCARE
—
01
—
784198
MVP HEALTH CARE
—
01
—
9515211
CIGNA HEALTH PLAN
—
01
—
9900105
FALLON COMMUNITY HEALTH P
—
01
—
AA1186
HARVARD PILGRIM HEALTHCAR
—
01
—
J10107
BLUE SHIELD HMO BLUE
—
Enumeration date
11/16/2005
Last updated
09/20/2011
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