Individual
MRS. ERICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
840 HARRISON AVE, RADIOLOGY - BOSTON MEDICAL CENTER, BOSTON, MA 02118
(617) 638-6610
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-0004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6064
MA
363AM0700X
Medical Physician Assistant
6860
GA
Other
Enumeration date
08/04/2013
Last updated
03/17/2018
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