1487636494

Everything you always wanted to know about DR. SMITH G ERIC M.D. but were afraid to ask.

DR. SMITH G ERIC M.D.

You can also download the this 1487636494 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. SMITH G ERIC M.D.
Gender:
Male
Enumeration date:
2005-11-16
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for ERIC, SMITH in
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Identifiers

identifier description issuer state
I09656 Medicare UPIN none MA
SM A37018 Medicare ID-Type Undpecified none MA
2040000 Medicaid none MA

Taxonomies

Taxonomy State License Number Primary?
2084P0800X Psychiatry MA 216930 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 5083348815
Mailing Address Fax Number 5083345374
Practice Location Address Telephone Number 5088562551

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 62 SHREWSBURY MA 1545 MA
Practice Location Address 361 PLANTATION ST TURNPIKE STATION WORCESTER MA 0 MA

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