Individual
ALAN JAY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 677-9729
(609) 652-6270
Mailing address
72 W JIMMIE LEEDS RD, SUITE 1100, GALLOWAY, NJ 08205-9406
(609) 677-9729
(609) 652-7153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02317800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1899309
—
NJ
01
—
300081013
RAILROAD MEDICARE
NJ
01
—
P00758310
RAILROAD MEDICARE
NJ
01
—
P00847827
RAILROAD MEDICARE
NJ
Enumeration date
08/15/2006
Last updated
04/05/2012
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