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Individual

DR. RICHARD V SIMEONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
18 FORK ST, MOUNT POCONO, PA 18344-1202
(570) 839-9402
(570) 839-9473
Mailing address
18 FORK ST, MOUNT POCONO, PA 18344-1202
(570) 839-9402
(570) 839-9473

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC003780L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4417175
AETNA
PA
01
805805
FIRST PRIORITY
PA
01
829777
AETNA US HEALTHCARE
PA
01
9625100
GHI
PA
Enumeration date
08/02/2006
Last updated
07/08/2007
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