Individual
WILLIAM R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 THE LOPE, HAYDENVILLE, MA 01039
(413) 320-2457
(413) 268-7802
Mailing address
7 THE LOPE, HAYDENVILLE, MA 01039
(413) 320-2457
(413) 268-7802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42587
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
42587
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3194547
NORTH AMERICAN PREFERRED
MA
01
—
042587-G500
CONNECTICARE
MA
05
—
3013235
—
MA
01
—
32075
BMC
MA
01
—
36487
HEALTH NEW ENGLAND
MA
01
—
3982254
AETNA
MA
01
—
470394
TUFTS
MA
01
—
8432243
CIGNA
MA
01
—
AA49485
HARVARD PILGRIM
MA
01
—
J05819
BCBSMA
MD
Enumeration date
02/17/2006
Last updated
09/10/2014
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