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Individual
PAUL J SIMON
Active
Individual
PAUL J SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MB048321
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0539253000
AMERIHEALTH
—
01
—
1130329
MHP
—
01
—
220018740
RRM
—
01
—
5126401
AMGP
—
05
—
5126401
—
NJ
Enumeration date
05/15/2006
Last updated
08/13/2010
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