Individual
JILL A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 WASHINGTON ST, SUITE 462, NEWTON, MA 02462-1650
(617) 964-1050
(617) 964-6449
Mailing address
2000 WASHINGTON ST, SUITE 462, NEWTON, MA 02462-1650
(617) 964-1050
(617) 964-6449
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150871
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150569
—
MA
Enumeration date
10/05/2006
Last updated
07/08/2007
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