Provider Demographics
NPI:1861402117
Name:SMOLINSKI, WILLIAM J (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:SMOLINSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1249 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6259
Mailing Address - Country:US
Mailing Address - Phone:610-770-2200
Mailing Address - Fax:610-433-7622
Practice Address - Street 1:1249 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6259
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-433-7622
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006757E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014941200007Medicaid
PA0014941200007Medicaid
PA722794Medicare ID - Type Unspecified