Smith, Robert Vincent

Smith, Robert Vincent is an individual health care provider with primary practice located at 2130 Spring Garden St , Philadelphia PA 19130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Smith, Robert Vincent can be contacted via phone (215) 955-9555.

Contact Information

Primary practice address
2130 Spring Garden St Philadelphia PA 19130
Phone: (215) 955-9555
Fax: (215) 988-0545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD018011E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD018011E Pennsylvania

Profile Details

NPI number 1255354999
LBN Legal business name Smith, Robert Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255354999 NPPES
Pennsylvania MEDICAID 0007588130002

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