MEDICARE: DR. MARSHA SMITH MD

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	208000000X	Pediatrics Physician	59819	MD

General Provider Information

NPI Number	:	1396961561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHA SMITH MD

Provider Business Mailing Address
First Line	:	7500 SECURITY BOULEVARD
Second Line	:	CENTERS FOR MEDICARE & MEDICAID SERVICES
City	:	BALTIMORE
State	:	MD
Zip	:	21201-2301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 SECURITY BOULEVARD
Second Line	:	CENTERS FOR MEDICARE & MEDICAID SERVICES
City	:	BALTIMORE
State	:	MD
Zip	:	21201-2301
Country	:	US
Telephone Number	:	410-786-6614
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/01/2013

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Directions to “ DR. MARSHA SMITH MD” Practice Location

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