Individual
ANTONIO S SIMORA
Active
Individual
ANTONIO S SIMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS013993
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102276861 0003
—
PA
05
—
1022768610001
—
PA
01
—
1946410
HIGHMARK
—
Enumeration date
11/15/2006
Last updated
04/01/2021
Update your record
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