Doctor Name: | CHEVELTA A BOSTICK-SMITH |
NPI Number: | 1144399619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 25MB07958800 |
Business Practice Address: | 5401 Peach St Suite 3100 Erie, PA - 165092601 |
Business Phone Number: | 8148687830 |
Business Fax Number: | 8148682138 |
Mailing Address: | 1 Lecom Pl, ERIE |
State: | PA |
Postal Code: | 165052571 |
Phone Number: | 8148682507 |
Fax Number: | 8148682522 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25MB07958800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |