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NPI Code Detail

MEDICARE: ADRIENNE MONICA SMITH MD

MEDICARE:   ADRIENNE MONICA SMITH  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
12084N0400XNeurology PhysicianMD11541DC

General Provider Information

NPI Number : 1588605869
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE MONICA SMITH MD
Provider Business Mailing Address
First Line : 4530 CONNECTICUT AVE. N.W.
Second Line : SUITE 101
City : WASHINGTON
State : DC
Zip : 20008-4313
Country : US
Telephone Number : 202-251-9804
Fax Number : 202-244-3539
Provider Business Practice Location Address
First Line : 4530 CONNECTICUT AVE. N.W.
Second Line : SUITE 101
City : WASHINGTON
State : DC
Zip : 20008-4313
Country : US
Telephone Number : 202-251-9804
Fax Number : 202-244-3539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

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Directions to “ ADRIENNE MONICA SMITH MD” Practice Location

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