Organization
EDWARD D. SIMMONS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DONALD SIMMONS M.D. (OWNER)
(716) 882-0035
Entity
Organization
Contact information
Practice address
235 NORTH ST, BUFFALO, NY 14201-1435
(716) 882-0035
(716) 882-3032
Mailing address
235 NORTH ST, BUFFALO, NY 14201-1435
(716) 882-0035
(716) 882-3032
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
177174
NY
363AS0400X
Surgical Physician Assistant
007619
NY
363AS0400X
Surgical Physician Assistant
007834
NY
Other
Enumeration date
04/05/2011
Last updated
03/22/2012
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