Individual
ELLEN M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011-2653
(207) 729-7939
(207) 725-4717
Mailing address
121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011-2653
(207) 729-7939
(207) 725-4717
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
160838
MA
207RC0000X
Cardiovascular Disease Physician
160838
MA
207RC0000X
Cardiovascular Disease Physician
Primary
MD16225
ME
Other
Enumeration date
05/28/2006
Last updated
05/09/2017
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