Provider Demographics
NPI:1851761936
Name:SMITH, ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:SMITH
Suffix:
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 1:63 PARKER RIDGE LN
Mailing Address - Street 2:APT. 314
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-6129
Mailing Address - Country:US
Mailing Address - Phone:207-374-7057
Mailing Address - Fax:
Practice Address - Street 1:63 PARKER RIDGE LN
Practice Address - Street 2:APT. 314
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614-6129
Practice Address - Country:US
Practice Address - Phone:207-374-7057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD7297207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine