# GERALD T SIMMONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oswego Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548281538
- **Authorized official:** DR. GERALD THOMAS SIMMONS MD (PHYSICIAN)
- **Authorized official phone:** (315) 342-7360

## Contact information

- **Practice address:** 11 4TH AVE, SUITE F, OSWEGO, NY 13126-1852
- **Practice address phone:** (315) 342-7360
- **Practice address fax:** (315) 342-7620
- **Mailing address:** 11 4TH AVE, SUITE F, OSWEGO, NY 13126-1852
- **Mailing address phone:** (315) 342-7360
- **Mailing address fax:** (315) 342-7620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2116251 | NY | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 03/12/2008