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Individual

DR. JASON ALAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
314 FRANKLIN AVE STE 302, BERLIN, MD 21811-1238
(410) 641-3735
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H87431
MD
208800000X
Urology Physician
OS-013408
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026003460001
PA
05
1026003460002
PA
05
1026003460003
PA
05
1026003460004
PA
Enumeration date
05/05/2007
Last updated
03/12/2025
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