Individual
DELBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 MILLER ST, MERIDEN, CT 06450-4256
(203) 630-4234
Mailing address
165 MILLER ST, MERIDEN, CT 06450-4256
(203) 630-4234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009654CT
CT
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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