Individual
MAGGIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 O ST NW, WASHINGTON, DC 20057-0002
(202) 687-6670
Mailing address
202 STONELEDGE PL NE, LEESBURG, VA 20176-4959
(703) 999-6330
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
003334
NY
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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