MEDICARE: DR. CURTIS ALDEN SMITH D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C2-0003304	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0898315	OTHER	DE	AETNA
2	510326754	OTHER	DE	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4364077	OTHER	DE	AETNA
5	0288692000	OTHER	DE	AMERIHEALTH
6	000000208521	OTHER	DE	UNISON
7	32235	OTHER	DE	COVENTRY
8	824118	OTHER		MAMSI OPTIMUM CHOICE

General Provider Information

NPI Number	:	1053310995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS ALDEN SMITH D.O.

Provider Business Mailing Address
First Line	:	314 S CENTRAL AVE
Second Line	:
City	:	LAUREL
State	:	DE
Zip	:	19956-1525
Country	:	US
Telephone Number	:	302-875-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 S CENTRAL AVE
Second Line	:
City	:	LAUREL
State	:	DE
Zip	:	19956-1525
Country	:	US
Telephone Number	:	302-875-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	05/21/2008

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Directions to “ DR. CURTIS ALDEN SMITH D.O.” Practice Location

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