Individual
DR. FRED SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, MONTEFIORE MED CTR DEPT PATHOLOGY, BRONX, NY 10467-2401
(718) 920-4976
Mailing address
111 E 210TH ST, MONTEFIORE MED CTR DEPT PATHOLOGY, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
108479
NY
Other
Enumeration date
09/22/2005
Last updated
03/27/2012
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