Healthcare Provider Details

I. General information

NPI: 1962399501
Provider Name (Legal Business Name): MARTHA SMEE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SPRUCE ST PINE 1 WEST
PHILADELPHIA PA
19107-6130
US

IV. Provider business mailing address

2440 MEMPHIS ST
PHILADELPHIA PA
19125-2126
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-7817
  • Fax: 215-829-7129
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA066655
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: