Doctor Name: | RICHARD J SMAYDA |
NPI Number: | 1851344998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 204579 |
Business Practice Address: | 1421 Route 39 Harwich, MA - 026452148 |
Business Phone Number: | 5084301221 |
Business Fax Number: | |
Mailing Address: | 174 Wayside Rd, HARWICH |
State: | MA |
Postal Code: | 026451442 |
Phone Number: | 5084301220 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 204579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |