Individual
ERIN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 VALLEY RD, WAYNE, NJ 07470-3534
(973) 942-1315
Mailing address
34A ATHERTON CT, WAYNE, NJ 07470-3398
(607) 341-6542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00354500
NJ
Other
Enumeration date
12/11/2014
Last updated
08/12/2019
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