21D2119640 CLIA NUMBER - FREDERICK P SMITH, MD, PC, DIVISION OF RCCA

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Laboratory Demographics

CLIA Number: 21D2119640

Facility Name: FREDERICK P SMITH, MD, PC, DIVISION OF RCCA

Facility Address:
5530 WISCONSIN AVENUE SUITE 1640
CHEVY CHASE, MD
ZIP 20815
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Facility Phone Number: 301 657-4588

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1730185935

Taxonomy: 207RX0202X - Internal Medicine
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

CLIA Record

Field Name	Field Value
CLIA Number	21D2119640
LAB Type	Physician Office
Facility Name	FREDERICK P SMITH, MD, PC, DIVISION OF RCCA
Street	5530 WISCONSIN AVENUE SUITE 1640
City	CHEVY CHASE
State	MD
ZIP	20815
Phone	301 657-4588
CertificateType	2
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024