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Organization

CHESTER L SMITH JR MD PC

Active
Other names
Chester L Smith MD
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA CASPER (CREDENTIALING ACCOUNT MANAGER)
(904) 416-1021
Entity
Organization

Contact information

Practice address
369 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 421-6730
Mailing address
369 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 421-6730

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
12/15/2019
Last updated
12/15/2019
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