| Doctor Name: | EMMANUEL ADEMOLA SMITH |
| NPI Number: | 1487688834 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD066013L |
| Business Practice Address: | 261 Meeting House Ln Merion Station, PA - 190661231 |
| Business Phone Number: | 6107710290 |
| Business Fax Number: | |
| Mailing Address: | 3998 Red Lion Rd Ste 214, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191141440 |
| Phone Number: | 2156124700 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD066013L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |