Individual
GREGORY T SIMONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 ESSEX ST, STE 102, HACKENSACK, NJ 07601
(201) 487-8882
(201) 487-0943
Mailing address
211 ESSEX ST, STE 102, HACKENSACK, NJ 07601
(201) 487-8882
(201) 487-0943
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA060740
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804806
—
NJ
Enumeration date
05/10/2006
Last updated
02/22/2012
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