Organization
JON E. SIMON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON E SIMON M.D. (OWNER/PHYSICIAN)
(410) 666-0200
Entity
Organization
Contact information
Practice address
54 SCOTT ADAM RD, SUITE 104, COCKEYSVILLE, MD 21030-3216
(410) 666-0200
(410) 666-0210
Mailing address
54 SCOTT ADAM RD, SUITE 104, COCKEYSVILLE, MD 21030-3216
(410) 666-0200
(410) 666-0210
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D53156
MD
Other
Enumeration date
09/15/2006
Last updated
08/05/2011
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