Smith, Craig S

Smith, Craig S is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Cardiology, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Smith, Craig S can be contacted via phone (508) 334-3452.

Contact Information

Primary practice address
55 Lake Ave N Department Of Cardiology Worcester MA 01655-0002
Phone: (508) 334-3452
Fax: (774) 441-7657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 226437 Massachusetts
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 226437 Massachusetts

Profile Details

NPI number 1619934494
LBN Legal business name Smith, Craig S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619934494 NPPES
Massachusetts MEDICAID 2113490
Massachusetts MEDICAID 110041905A

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