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Individual

DR. MARC LEE SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
16 POCONO RD STE 310, DENVILLE, NJ 07834-2908
(973) 627-4227
(973) 664-7572
Mailing address
16 POCONO RD STE 310, DENVILLE, NJ 07834-2908
(973) 627-4227
(973) 627-2066

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB03674200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1607901
NJ
Enumeration date
01/29/2007
Last updated
04/27/2022
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