Individual
MRS. ANASTASIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 WEST ST, BOSTON, MA 02111-1216
(774) 270-4744
Mailing address
41 WEST ST, BOSTON, MA 02111-1216
(774) 270-4744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MA
Enumeration date
03/31/2022
Last updated
03/31/2022
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