Provider Demographics
NPI:1386669893
Name:SMOKER-JOHNSTON, CYNTHIA B (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:B
Last Name:SMOKER-JOHNSTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:225 EVERGREEN RD
Mailing Address - Street 2:SANATOGA CENTER
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3143
Mailing Address - Country:US
Mailing Address - Phone:610-323-1800
Mailing Address - Fax:610-612-3108
Practice Address - Street 1:225 EVERGREEN RD
Practice Address - Street 2:SANATOGA CENTER
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3143
Practice Address - Country:US
Practice Address - Phone:610-323-1800
Practice Address - Fax:610-612-3108
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042440-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F03828Medicare UPIN
PA694839LKFMedicare PIN