Organization
FREDERICK P SMITH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY M BANNER CPA (CHIEF EXECUTIVE OFFICER)
(240) 644-1256
Entity
Organization
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1300, CHEVY CHASE, MD 20815-6901
(301) 657-4588
(301) 657-9565
Mailing address
5454 WISCONSIN AVE, SUITE 1300, CHEVY CHASE, MD 20815-6901
(240) 644-1233
(301) 657-9565
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/14/2010
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