Michael David Smith
Pediatrics in Boston, MA. Individual provider (NPI-1).
NPI number1982138707
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1982138707
- Entity type
- Individual (NPI-1)
- Name
- Michael David Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2017
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 2020-03049 | NC | Yes |
Practice location
800 Washington StBoston, MA 02111-1552
Phone 617-636-5000
Mailing address
800 Washington St # 1013Boston, MA 02111-1552
Phone 617-636-5000
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