Individual
DR. PURABI SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
495 NORTH 13TH STREET, NEWARK, NJ 07107-1397
(973) 268-1400
Mailing address
66 W GILBERT ST, RED BANK, NJ 07701-4918
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB07827200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105830
—
NJ
01
—
60067341
HORIZON NJ HEALTH
NJ
01
—
P00763319
RR MEDICARE
NJ
Enumeration date
05/18/2006
Last updated
09/20/2010
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