Individual
DR. RONALD DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
574 WILLIS ST, BRISTOL, CT 06010-7267
(959) 217-1500
(959) 217-1500
Mailing address
574 WILLIS ST, BRISTOL, CT 06010-7267
(959) 217-1500
(959) 217-1500
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
11778
NV
2080P0203X
Pediatric Critical Care Medicine Physician
200100466
NC
2080P0203X
Pediatric Critical Care Medicine Physician
202000
LA
2080P0203X
Pediatric Critical Care Medicine Physician
5689
SD
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
200100466
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
202000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000958361X
—
GA
05
—
006738460
—
VI
05
—
009973360
—
AL
05
—
02258588
—
NY
05
—
05058544
—
MS
05
—
100447610A
—
KS
05
—
100509717
—
NV
05
—
1140937
—
LA
05
—
158971501
—
TX
05
—
200005950A
—
OK
05
—
200479090
—
IN
05
—
2115124
—
OH
05
—
401844300
—
MD
05
—
64041510
—
KY
05
—
702276
—
AZ
05
—
8891206
—
NJ
05
—
89128HV
—
NC
05
—
Q0046D
—
SC
Enumeration date
05/04/2006
Last updated
08/10/2022
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