Healthcare Provider Details

I. General information

NPI: 1982138335
Provider Name (Legal Business Name): SMARTBRIDGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 M ST NW SUITE 818
WASHINGTON DC
20005-4201
US

IV. Provider business mailing address

1301 M STREET NW, SUITE 818
WASHINGTON DC
20005
US

V. Phone/Fax

Practice location:
  • Phone: 917-721-3644
  • Fax:
Mailing address:
  • Phone: 917-721-3644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateDC

VIII. Authorized Official

Name: MS. HUA WANG
Title or Position: CEO
Credential:
Phone: 917-721-3644