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NPI Code Detail

MEDICARE: DR. JOSEPH HOWARD SMART M.D.

MEDICARE: DR. JOSEPH HOWARD SMART M.D.
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 PhysicianG077755CA
2208000000XPediatrics Physician35-076473OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306894381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH HOWARD SMART M.D.
Provider Business Mailing Address
First Line : 4194 CALLE MAR DE BALLENAS
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-2684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16950 VIA TAZON
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-1607
Country : US
Telephone Number : 858-499-2701
Fax Number : 858-521-2008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 03/24/2011

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Directions to “ DR. JOSEPH HOWARD SMART M.D.” Practice Location

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