Whalio Doctors

NPI 1184681769

Wiley Joseph Smith, MD

Practitioner Dermatology Physician Portland, ME

Practice location

Address
50 Sewall St, Portland, ME 04102-2645
Phone
(207) 775-3526
Fax
(207) 775-5658

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD19514 (ME)

Registry record

NPI
1184681769
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Apr 2006
Record last updated
2 Oct 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.