Provider Demographics
NPI:1336890375
Name:SMITH, BRITTANY S
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:S
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 S MAIN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2515
Mailing Address - Country:US
Mailing Address - Phone:978-777-2707
Mailing Address - Fax:
Practice Address - Street 1:191 S MAIN ST STE 107
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2515
Practice Address - Country:US
Practice Address - Phone:978-777-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist