# DR. COLETTE SIMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235245036
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | MD452766 | PA | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | MD452766 | PA | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 10/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 072790 | MEDICARE PTAN | PA |