Individual
DR. FELICIA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST WRN 615, PSYCHIATRY ASSOCIATES INPATIENT CONSULT, BOSTON, MA 02114-2696
(617) 726-2984
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2466
(617) 643-1376
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213525
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037891
—
MA
01
—
468778
TUFTS HEALTH PLAN
MA
Enumeration date
11/25/2005
Last updated
09/07/2012
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