Organization
GLORIA SIMONSON, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CORNELL (CREDENTAILING COORDINATOR)
(410) 398-4679
Entity
Organization
Contact information
Practice address
111 W HIGH ST, ELKTON, MD 21921-5529
(410) 398-4679
Mailing address
213 NORTH ST, ELKTON, MD 21921-5512
(410) 398-4679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0056449
MD
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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