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NPI Code Detail

MEDICARE: DR. RONALD ENGLISH SMITH JR. M.D.

MEDICARE:  DR. RONALD ENGLISH SMITH JR. 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
1207Q00000XFamily Medicine Physician6819MT

General Provider Information

NPI Number : 1871502773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD ENGLISH SMITH JR. M.D.
Provider Business Mailing Address
First Line : 813 GOBIN DR
Second Line :
City : CARLISLE
State : PA
Zip : 17013-1514
Country : US
Telephone Number : 717-249-8951
Fax Number : 717-245-3815
Provider Business Practice Location Address
First Line : 450 GIBNER RD STE 1
Second Line : CARLISLE BARRACKS
City : CARLISLE
State : PA
Zip : 17013-5086
Country : US
Telephone Number : 717-245-3041
Fax Number : 717-245-3815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 07/08/2007

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