Individual
DR. JONATHAN DAVID SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1815 MASSACHUSETTS AVE # 007, CAMBRIDGE, MA 02140-1430
(617) 497-9474
(617) 868-4357
Mailing address
1815 MASSACHUSETTS AVE # 007, CAMBRIDGE, MA 02140-1430
(617) 497-9474
(617) 868-4357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 1586
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351074
HARVARDPILGRIM ID
MA
01
—
4400207
UNITEDHEALTHCARE ID
MD
01
—
4615159
AETNA ID
MA
01
—
814646
USHEALTHCARE ID
MD
01
—
SIY36128
BLUECROSSBLUESHIELD ID
MA
Enumeration date
01/30/2007
Last updated
07/08/2007
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