Individual
THERESA M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 793-6100
(508) 793-6110
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
079608
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26188
MA
Other
Enumeration date
05/02/2011
Last updated
08/10/2022
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