Provider Demographics
NPI:1588670418
Name:SMITH, CHARLES FRANKLIN SR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:FRANKLIN
Last Name:SMITH
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 WETHERSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-1956
Mailing Address - Country:US
Mailing Address - Phone:610-398-7861
Mailing Address - Fax:610-398-0295
Practice Address - Street 1:1450 WETHERSFIELD DR
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1956
Practice Address - Country:US
Practice Address - Phone:610-398-7861
Practice Address - Fax:610-398-0295
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD008174E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics