Individual
BENJAMIN SIDNEY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 BERGEN ST # UHI-248, NEWARK, NJ 07103-2496
(973) 972-6056
Mailing address
150 BERGEN ST # UHI-248, NEWARK, NJ 07103-2496
(973) 972-6056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11991600
NJ
Other
Enumeration date
06/15/2020
Last updated
01/30/2024
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