Individual
DR. GRANT R. SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3658
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(201) 472-3627
(551) 996-5697
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA07277100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8775800
—
NJ
Enumeration date
11/09/2006
Last updated
10/24/2016
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