Individual
BRIAN RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH, CLINIC BUILDING 407, NEW HAVEN, CT 06510-3220
(203) 688-2286
(203) 688-4111
Mailing address
20 YORK ST, YNHH, CLINIC BUILDING 407, NEW HAVEN, CT 06510-3220
(203) 688-2286
(203) 688-4111
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
029372
CT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
029372
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001293729
—
CT
Enumeration date
11/16/2005
Last updated
04/06/2011
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