Individual
DR. SEGUN V SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2130 MILLBURN AVE, SUITE C-3, MAPLEWOOD, NJ 07040-3725
(973) 996-2727
(973) 763-2558
Mailing address
PO BOX 373, SHORT HILLS, NJ 07078-0373
(973) 996-2727
(973) 763-2558
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08683000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371254
—
NJ
Enumeration date
08/04/2009
Last updated
11/22/2014
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