Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 207840 | MA |
NPI | 1346521622 |
---|---|
Provider Name | Dr. Suzanne Margaret Smith |
First Address | Northampton, MA 01060-2245 |
Second Address | Greenfield, MA 01301-2457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 12/03/2021 |