Individual
MERTON A SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418
(203) 735-6493
(203) 736-9720
Mailing address
60 MAPLE AVE, DERBY, CT 06418-1302
(203) 735-6493
(203) 736-9720
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
032958
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3P5461
EMPIRE BC
NY
Enumeration date
05/17/2006
Last updated
07/08/2007
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