Individual
DR. CASSANDRA JOY SIMONETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32 COLONNADE WAY, STATE COLLEGE, PA 16803
(814) 272-4445
(814) 272-4450
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD464450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
677344
MEDICARE
PA
Enumeration date
05/28/2013
Last updated
08/16/2018
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