Individual
IRA U SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1787 SENTRY PKWY W STE 405, BLUE BELL, PA 19422-2239
(877) 868-4827
Mailing address
1787 SENTRY PKWY W STE 405, BLUE BELL, PA 19422-2239
(877) 868-4827
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD022655E
PA
207RP1001X
Pulmonary Disease Physician
MD022655E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089102
—
NJ
Enumeration date
12/14/2005
Last updated
10/19/2017
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