Individual
DR. CARL I SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9200
(215) 785-9039
Mailing address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9200
(215) 785-9039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD027447L
PA
207X00000X
Orthopaedic Surgery Physician
MD027447L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101040658 0001
—
PA
01
—
30017309
KEYSTONE MERCY
PA
01
—
HIGHMARK BLUE SHIELD
15410
PA
01
—
IBC
0021789000
PW
Enumeration date
05/31/2006
Last updated
01/17/2008
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