Chester L Smith JR.
Gynecologist
369 E Brown St
East Stroudsburg
, Pennsylvania 18301-9101
Chester L Smith JR.
Gynecologist
369 E Brown St
East Stroudsburg
, Pennsylvania 18301-9101
(570) 421-2077
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Chester L Smith JR.
- 369 E Brown St
- East Stroudsburg, PA
- Zip : 18301-9101
- Fax : (570) 421-2077
- Phone : (570) 421-6040
Second Address
- Chester L Smith JR.
- 369 E Brown St
- East Stroudsburg, PA
- Zip : 18301-9101
- Fax : (570) 421-2077
- Phone : (570) 421-6040
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Is Chester L Smith JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MD021318E | PA |
National Provider Identifier
| NPI | 1003813585 |
|---|---|
| Provider Name | Chester L Smith JR. |
| First Address | East Stroudsburg, PA 18301-9101 |
| Second Address | East Stroudsburg, PA 18301-9101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2005 |
| Last Update Date | 02/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006701240001 | (05) | PA |
| 083358 | BLUE SHIELD (01) | PA |
| C29322 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.