Individual
DR. DAGOBERT SIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1403 MADISON PARK DR, GLEN BURNIE, MD 21061-6189
(410) 487-6902
(410) 487-6982
Mailing address
5111 HONEY LOCUST CT, ELLICOTT CITY, MD 21042-6016
(410) 487-6902
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
D0073466
MD
207R00000X
Internal Medicine Physician
Primary
D0073466
MD
Other
Enumeration date
06/29/2009
Last updated
08/26/2022
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