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NPI Code Detail

MEDICARE: DR. JULIE CLIFFORD SMAIL M D

MEDICARE: DR. JULIE CLIFFORD SMAIL 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
1207R00000XInternal Medicine Physician202574MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
191209504OTHERFEIN

General Provider Information

NPI Number : 1376559849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE CLIFFORD SMAIL M D
Provider Business Mailing Address
First Line : 36 ESSEX RD
Second Line :
City : IPSWICH
State : MA
Zip : 01938-2599
Country : US
Telephone Number : 987-356-5522
Fax Number :
Provider Business Practice Location Address
First Line : 36 ESSEX RD
Second Line :
City : IPSWICH
State : MA
Zip : 01938-2599
Country : US
Telephone Number : 987-356-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 03/01/2011

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