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Individual

DR. MICHAEL SIMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 737-4643
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 737-4643

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11396
NH
207RC0000X
Cardiovascular Disease Physician
46953
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30201610
NH
01
ORE6303
MEDICAID
VT
Enumeration date
06/05/2006
Last updated
01/08/2020
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