Individual
DR. MELISSA ANN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOPPIN ST STE 202, PROVIDENCE, RI 02903-4141
(401) 444-6551
Mailing address
2 DUDLEY ST STE 505, PROVIDENCE, RI 02905-3249
(401) 444-7008
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14710
RI
207W00000X
Ophthalmology Physician
161664
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2010
Last updated
09/13/2023
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