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Contact Information

THERESA M SMITH, DO
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-793-6100
 Fax: 508-793-6110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for THERESA M SMITH · (Female)

NPI # 1902197494
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/02/2011
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 26188
  • NY License # 079608
Hospital affiliation(s)
  • STATEN ISLAND UNIVERSITY HOSPITAL - (Acute Care)
    475 SEAVIEW AVENUE
    STATEN ISLAND, NY 10305
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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