Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 241140 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | C1000-7034 | DE |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MA72773 | NJ |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD432083 | PA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 241140 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | C1000-7034 | DE |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MA72773 | NJ |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD432083 | PA |
NPI | 1497973754 |
---|---|
Provider Name | Dr. Craig Gordon Smucker |
First Address | Newark, DE 19702-3358 |
Second Address | West Grove, PA 19390-9313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 05/08/2021 |