NPI 1043408115

Beth Renee Smolko, PAC

Practitioner Physician Assistant Frederick, MD

Practice location

Address: 70 Thomas Johnson Dr Suite 101, Frederick, MD 21702-4361
Phone: (301) 668-9393
Fax: (301) 668-4480
Mailing address: 70 Thomas Johnson Drive Suite 101, Frederick, MD 21702

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence C0003661 (MD)

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Registry record

NPI: 1043408115
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2007
Record last updated: 13 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.