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Individual

ROBERT PAUL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4002 PENNYFIELDS LOCK CT, POINT OF ROCKS, MD 21777-2083
(216) 496-4686
Mailing address
4002 PENNYFIELDS LOCK CT, POINT OF ROCKS, MD 21777-2083
(216) 496-4686

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35053661S
OH
207P00000X
Emergency Medicine Physician
MD459087
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0677316
OH
05
103163503
PA
01
1740241686
MEDICARE NPI
OH
Enumeration date
03/30/2006
Last updated
12/13/2016
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