Healthcare Provider Details

I. General information

NPI: 1447900295
Provider Name (Legal Business Name): ALEXANDER PRYCE SMITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MOUNT AUBURN STREET SOUTH - GROUND FLOOR, RADIOLOGY RESIDENCY
CAMBRIDGE MA
02138
US

IV. Provider business mailing address

330 MOUNT AUBURN STREET SOUTH - GROUND FLOOR, RADIOLOGY RESIDENCY
CAMBRIDGE MA
02138
US

V. Phone/Fax

Practice location:
  • Phone: 617-499-5070
  • Fax: 617-499-5193
Mailing address:
  • Phone: 617-499-5070
  • Fax: 617-499-5193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: