Organization
ANDREW L SIMON M D - IMRT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L SIMON M.D. (PRESIDENT)
(732) 840-0900
Entity
Organization
Contact information
Practice address
900 ROUTE 70, LAKEWOOD, NJ 08701-5940
(732) 840-0900
(732) 840-0912
Mailing address
2517 AUTUMN DR, MANASQUAN, NJ 08736-2134
(732) 840-0900
(732) 840-0912
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA05112300
NJ
Other
Enumeration date
03/04/2008
Last updated
04/04/2008
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