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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID PHILLIPS SMACK, MD

Active Sole Proprietor

DAVID PHILLIPS SMACK, MD is a Obesity Medicine healthcare provider located in EASTON, Maryland. NPI 1073501912 is currently active in the NPPES registry. Verify at CMS.

Obesity Medicine · EASTON, MD

Registration Details

NPI Number
1073501912
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2005 (20.845842465224 yrs)
Last Updated
Oct 6, 2020
Licenses
D0040409 (MD)
D0040409 (MD)
D0040409 (MD)
Sole Proprietor
Yes

Practice Information

Address
5 CAULK LANE
SUITE 2, 2ND FLOOR
EASTON, MD, 216014066
Browse MD providers · Browse ZIP 21601
Phone
4108229890
Fax
4107639536
Primary Specialty
Obesity Medicine
207ND0101X
Additional Specialty
Procedural Dermatology
Additional Specialty
Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.