Walter Smith, LADC 1

NPI 1972736338 · on the registry since 2009 · sole proprietor

Practice

Address: 435 Warren St
Roxbury, MA 02119
Phone: (617) 541-3670
Organisation at this address: Roxbury Comprehensive Community Health Center
Roxbury Comprehensive Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts