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NPI Code Detail

MEDICARE: BENJAMIN MICHAEL SMITH MD

MEDICARE:   BENJAMIN MICHAEL 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
1208000000XPediatrics PhysicianMD483990PA

General Provider Information

NPI Number : 1952982449
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN MICHAEL SMITH MD
Provider Business Mailing Address
First Line : 6343 PENN AVE STE 201
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4011
Country : US
Telephone Number : 412-363-2200
Fax Number :
Provider Business Practice Location Address
First Line : 6343 PENN AVE STE 201
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4011
Country : US
Telephone Number : 412-363-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2021
Last Update Date : 08/27/2024

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