Individual
DR. COLETTE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2603 KEISER BLVD STE 204, WYOMISSING, PA 19610-3356
(484) 628-3939
(484) 628-3940
Mailing address
2603 KEISER BLVD STE 204, WYOMISSING, PA 19610-3356
(484) 628-3939
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
MD452766
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
MD452766
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072790
MEDICARE PTAN
PA
Enumeration date
08/22/2006
Last updated
10/28/2016
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