Smoot, Sanford

Smoot, Sanford is an individual health care provider with primary practice located at 18 Holmes Rd , Lexington MA 02420-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smoot, Sanford can be contacted via phone (781) 862-1429.

Contact Information

Primary practice address
18 Holmes Rd Lexington MA 02420-1917
Phone: (781) 862-1429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51966 Massachusetts

Profile Details

NPI number 1720072697
LBN Legal business name Smoot, Sanford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1720072697 NPPES
Massachusetts MEDICAID 3130576

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