Individual
JILL BARBARA SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 COLD SOIL ROAD, LAWRENCEVILLE, NJ 08648-5538
(609) 896-3639
Mailing address
44 COLD SOIL ROAD, LAWRENCEVILLE, NJ 08648-5538
(609) 896-3639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03121100
NJ
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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