Individual
JOSEPH L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9803
(814) 534-3290
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9803
(814) 534-3290
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD014560E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527028
ANTHEM
IN
05
—
200878070
—
IN
01
—
P00465479
RAILROAD MEDICARE
IN
Enumeration date
06/09/2006
Last updated
05/19/2008
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