Individual provider · Type 1 NPI

Charles Wade Smith

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1124955372 Active

Practice location

150 S Huntington Ave
Boston, MA 02130-4817

Mailing address

14408 White Oak Rdg
Hancock, MD 21750-2018

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124955372

Charles Wade Smith's National Provider Identifier is 1124955372, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 4, 2026.