Jordan W Smoller in Charlestown - Psychiatry

Jordan W Smoller - NPI 1528037645

Jordan W Smoller is a Psychiatry in Charlestown, Massachusetts. Jordan W Smoller practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jordan W Smoller is 1528037645. The last update date is 2013-01-08.

Jordan W Smoller's current location address is Po Box 9142, Charlestown, Massachusetts. You can contact this provider via phone number 6177240835 and fax number 6177260850. The mailing address for Jordan W Smoller is Po Box 9142, Charlestown, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jordan W Smoller
Address Po Box 9142, Charlestown, Massachusetts
Phone Number 6177240835
Fax Number 6177260850
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528037645
Provider Enumeration Date 2006-03-14
Last Updated Date 2013-01-08

Provider Mailing Address Detail

Address Po Box 9142
City Charlestown
State Massachusetts (MA)
Post Code 21299142
Phone Number 6177240835
Fax Number 6177260850

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 78848
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J18506 MA BCBS MA
3175065 MA --
759971 MA TUFTS HEALTH PLAN

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FAQs about Jordan W Smoller

What is the Jordan W Smoller's 1528037645?

The Jordan W Smoller's NPI (National Provider Identifier) Number is 1528037645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jordan W Smoller?

The Jordan W Smoller is situated at Po Box 9142, in the city of Charlestown, state of MA, with the zip code 21299142.

What is the Jordan W Smoller's specialty and taxonomy code?

The Jordan W Smoller's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date was the 1528037645 assigned to Jordan W Smoller?

The Jordan W Smoller was issued its 1528037645 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Jordan W Smoller's details last updated?

The information pertaining to the Jordan W Smoller, including its address, specialty, and other details, was most recently updated on 2013-01-08.

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