Provider Demographics
NPI:1164410122
Name:SMEGLIN, ANTHONY M (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:SMEGLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:197 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2930
Mailing Address - Country:US
Mailing Address - Phone:413-458-8182
Mailing Address - Fax:413-458-3140
Practice Address - Street 1:77 HOSPITAL AVE
Practice Address - Street 2:STE 300
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2698
Practice Address - Country:US
Practice Address - Phone:413-664-5959
Practice Address - Fax:413-664-5773
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2011-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA56021207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1001682Medicaid
MA3007758Medicaid
A58425Medicare UPIN
MAJ05504Medicare PIN