Smith, Edward R.

Smith, Edward R. is an individual health care provider with primary practice located at 300 Longwood Ave Bader 3, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Smith, Edward R. can be contacted via phone (617) 355-8414.

Contact Information

Primary practice address
300 Longwood Ave Bader 3 Boston MA 02115-5724
Phone: (617) 355-8414
Fax: (617) 730-0906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 161140 Massachusetts

Profile Details

NPI number 1609846096
LBN Legal business name Smith, Edward R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 17th, 2018 - about 7 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 1609846096 NPPES
New Hampshire Other 30203759 MEDICAID HEALTH KIDS
New Hampshire Other 710422 MEDICAID HEALTH KIDS
New Hampshire Other M14829 MEDICAID HEALTH KIDS
New Hampshire Other 1010970 MEDICAID HEALTH KIDS
New Hampshire Other AA8312 MEDICAID HEALTH KIDS
New Hampshire Other 3159607 MEDICAID HEALTH KIDS
New Hampshire Other 710422 MEDICAID HEALTH KIDS
New Hampshire MEDICAID 9757597 MEDICAID HEALTH KIDS

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