Individual
DR. BARRY BRENT SIMMONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 SHURS LN, SUITE 301, PHILADELPHIA, PA 19127-2123
(215) 482-1234
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD430472
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD430472
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD430472
PA
Other
Enumeration date
04/19/2007
Last updated
07/16/2021
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