Individual
COURTNEY LAURETTE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
258581
MA
207L00000X
Anesthesiology Physician
MT196755
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME124748
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
258581
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME124748
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT196755
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110175763A
—
MA
05
—
122390000
—
FL
05
—
3130361
—
NH
01
—
33181
BCBS FLORIDA
FL
Enumeration date
04/22/2010
Last updated
02/03/2025
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