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CHESTER L SMITH JR, MD – NPI #1003813585
Gynecology

NPI Profile for CHESTER L SMITH JR in EAST STROUDSBURG, PA.

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Contact Information

CHESTER L SMITH JR, MD
369 E BROWN ST
EAST STROUDSBURG, PA  18301-9101
 Phone: 570-421-6040
 Fax: 570-421-2077
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Gynecology

 207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CHESTER L SMITH JR · (Male)

NPI Number 1003813585
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 03/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD021318E
  • PA Medicaid 0006701240001
  • PA Other 083358 BLUE SHIELD
Hospital affiliation(s)
  • POCONO MEDICAL CENTER - (Acute Care)
    206 EAST BROWN STREET
    EAST STROUDSBURG, PA 18301
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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