Individual
DR. JILL ZIMMER SIMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462
(617) 243-6040
(617) 243-6924
Mailing address
4 PAUL REVERE RD, LEXINGTON, MA 02421
(781) 652-0090
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
216446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091046
—
MA
01
—
469103
TUFTS
—
01
—
AA39789
HARVARD PILGRIM
—
01
—
J28383
BLUE SHIELD
—
Enumeration date
03/31/2006
Last updated
07/08/2007
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