Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 029284 | CT |
NPI | 1033176870 |
---|---|
Provider Name | Daniel Norman Smiley |
First Address | Rocky Hill, CT 06067-2110 |
Second Address | Bristol, CT 06010-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 30/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001292846 | (05) | CT |
B39491 | (02) |