Individual
MICHAEL LAWRENCE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A
Contact information
Practice address
416 BELLEVUE AVE, SUITE 104, TRENTON, NJ 08618-4513
(609) 396-4700
Mailing address
PO BOX 15321, NEWARK, NJ 07192-5321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00317200
NJ
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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