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NPI Code Detail

MEDICARE: ROBERT D SMITH DO

MEDICARE: ROBERT D SMITH DO
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
1207Q00000XFamily Medicine Physician153007MA

General Provider Information

NPI Number : 1245244060
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT D SMITH DO
Provider Business Mailing Address
First Line : 280 CHESTNUT ST
Second Line : 2ND FLOOR
City : SPRINGFIELD
State : MA
Zip : 01199-1001
Country : US
Telephone Number : 413-794-5700
Fax Number :
Provider Business Practice Location Address
First Line : 470 GRANBY RD
Second Line :
City : SOUTH HADLEY
State : MA
Zip : 01075-3218
Country : US
Telephone Number : 413-794-8700
Fax Number : 413-794-9732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 05/01/2023

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