Individual
JOHN JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
17 WESTERN MARYLAND PKWY, SUITE 101, HAGERSTOWN, MD 21740-5146
(301) 733-1477
(301) 733-7758
Mailing address
1510 COLONIAL CT, ARLINGTON, VA 22209-1439
(703) 448-8800
(703) 448-8515
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
DR42791
CO
2085R0202X
Diagnostic Radiology Physician
35084338
OH
2085R0202X
Diagnostic Radiology Physician
C10007472
DE
2085R0202X
Diagnostic Radiology Physician
Primary
D0061101
MD
2085R0202X
Diagnostic Radiology Physician
MD425084
PA
2085R0202X
Diagnostic Radiology Physician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033555
—
DE
05
—
10093112
—
PA
05
—
3810001128
—
WV
Enumeration date
01/20/2006
Last updated
03/27/2008
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