Provider Demographics
NPI:1982666939
Name:SMITH, ERIC B (MD)
Entity Type:Individual
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First Name:ERIC
Middle Name:B
Last Name:SMITH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-339-3761
Practice Address - Street 1:600 EVERGREEN DR STE 201
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1053
Practice Address - Country:US
Practice Address - Phone:267-339-3558
Practice Address - Fax:267-399-3763
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-02-28
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Provider Licenses
StateLicense IDTaxonomies
PAMD420251207X00000X
FLME152646207X00000X
NY302846207X00000X
NJ25MA09226500207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery