Doctor Name: | DR. JOSEPH ERIC SMITH |
NPI Number: | 1447495221 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0013861 |
Business Practice Address: | 6871 Mink Hollow Rd. Highland, MD - 20777 |
Business Phone Number: | 3018540086 |
Business Fax Number: | 3018540086 |
Mailing Address: | 6871 Mink Hollow Rd., HIGHLAND |
State: | MD |
Postal Code: | 20777 |
Phone Number: | 3018540086 |
Fax Number: | 3018540086 |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 12/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0013861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |