Individual
DR. NICOLE L SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S. 11TH STREET, BODINE CENTER FOR CANCER TREATMENT, PHILADELPHIA, PA 19107-4824
(215) 955-6702
(215) 955-5331
Mailing address
111 S. 11TH STREET, BODINE CENTER FOR CANCER TREATMENT, PHILADELPHIA, PA 19107-4824
(215) 955-6702
(215) 955-5331
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
D62143
MD
2085R0001X
Radiation Oncology Physician
Primary
MD441657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255327
—
NJ
05
—
102558180 0001
—
PA
Enumeration date
12/06/2006
Last updated
08/14/2019
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