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Individual

ROBERT P SMITH JR.

Active
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Individual

ROBERT P SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12397
ME
207RI0200X
Infectious Disease Physician
Primary
MD12397
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010550
ANTHEM
01
1040616
AETNA
05
238250099
ME
Enumeration date
03/18/2006
Last updated
01/31/2019
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