Individual
JAMES DOUGLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 SHERMAN AVE, STE 405, NEW HAVEN, CT 06511-5238
(203) 787-0117
(203) 777-3559
Mailing address
136 SHERMAN AVE, STE 405, NEW HAVEN, CT 06511-5238
(203) 787-0117
(203) 777-3559
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21406
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214064
—
CT
Enumeration date
09/30/2005
Last updated
10/11/2011
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