Individual
DR. HARVEY BRUCE SIMON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, INFECTIOUS DISEASE ASSOCIATES GRB 504, BOSTON, MA 02114-2621
(617) 726-3812
(617) 726-7416
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30884
MA
207RI0200X
Infectious Disease Physician
30884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030884
TUFTS HEALTH PLAN
MA
05
—
2016087
—
MA
01
—
M08339
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
09/11/2025
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