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 |
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Address | Po Box 9142, Charlestown, Massachusetts |
Phone Number | 6177240835 |
Fax Number | 6177260850 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1528037645 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2013-01-08 |
Provider Mailing Address Detail
Address | Po Box 9142 |
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City | Charlestown |
State | Massachusetts (MA) |
Post Code | 21299142 |
Phone Number | 6177240835 |
Fax Number | 6177260850 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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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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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.