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NPI Code Detail

MEDICARE: BRIAN SMERKERS MD

MEDICARE: BRIAN SMERKERS MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician273909MA

General Provider Information

NPI Number : 1497140305
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN SMERKERS MD
Provider Business Mailing Address
First Line : 440 FOLEY ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1213
Country : US
Telephone Number : 857-282-0777
Fax Number :
Provider Business Practice Location Address
First Line : 440 FOLEY ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1213
Country : US
Telephone Number : 857-282-0777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 04/27/2023

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