Provider Demographics
NPI:1518042217
Name:SMITH NASIFF, DANA M (DPM)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:SMITH NASIFF
Suffix:
Gender:F
Credentials:DPM
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Other - Credentials:
Mailing Address - Street 1:1261 FURNACE BROOK PARKWAY
Mailing Address - Street 2:SUITE 18
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-773-4300
Mailing Address - Fax:617-773-4301
Practice Address - Street 1:1261 FURNACE BROOK PARKWAY
Practice Address - Street 2:SUITE 18
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-773-4300
Practice Address - Fax:617-773-4301
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2077213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY71028OtherBLUE CROSS
MA33946OtherHARVARD PILGRIM
MA453584OtherTUFTS
MA33946OtherHARVARD PILGRIM
MA453584OtherTUFTS