Individual
MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
53 MAIN ST, SAYREVILLE, NJ 08872-1559
(732) 254-6200
(732) 254-7803
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 254-6200
(732) 254-7803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05520400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025374019
CIGNA
—
05
—
5545307
—
NJ
01
—
LP135
OXFORD
—
01
—
S1688640
MEDICARE ID-TYPE UNSPECIF
NJ
Enumeration date
07/14/2006
Last updated
02/13/2024
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