Provider Demographics
NPI:1770697682
Name:SMITH, DONALD A (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:51 LOCUST ST
Mailing Address - Street 2:UNIT #4
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2545
Mailing Address - Country:US
Mailing Address - Phone:413-341-5081
Mailing Address - Fax:
Practice Address - Street 1:51 LOCUST ST
Practice Address - Street 2:UNIT #4
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2545
Practice Address - Country:US
Practice Address - Phone:413-341-5081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2256292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry