Provider Demographics
NPI:1689939795
Name:SMITH, BRETT LOWELL (MD)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:LOWELL
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 PILLSBURY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3549
Mailing Address - Country:US
Mailing Address - Phone:603-224-2020
Mailing Address - Fax:603-228-7061
Practice Address - Street 1:248 PLEASANT ST STE 1600
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-2020
Practice Address - Fax:603-228-7061
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2021-06-10
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Provider Licenses
StateLicense IDTaxonomies
NH21250207W00000X
VA0101254699207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology