Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 0101273124 | VA |
Y | 207RI0200X | Infectious Disease | MD473833 | PA |
NPI | 1003243213 |
---|---|
Provider Name | Dr. Brandon Joseph Smith |
First Address | Pittsburgh, PA 15213-3403 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2013 |
Last Update Date | 26/10/2021 |