Individual
ALEXANDRIA HANUL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-3874
(617) 643-1781
Mailing address
24 HIGHLAND AVE APT 9, CAMBRIDGE, MA 02139-1027
(808) 646-1153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100780
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/02/2022
Last updated
11/25/2024
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