Healthcare Provider Details

I. General information

NPI: 1861142804
Provider Name (Legal Business Name): RACHAEL SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 ROUTE 70 E STE C
CHERRY HILL NJ
08003-2160
US

IV. Provider business mailing address

221 LANTWYN LN
NARBERTH PA
19072-2005
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-3760
  • Fax: 856-325-3761
Mailing address:
  • Phone: 610-999-6490
  • Fax:

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: