Individual
MR. JOSEPH EDWIN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
5508 GREENE ST, PHILADELPHIA, PA 19144-2806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00766100
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR11296200
NJ
367500000X
Certified Registered Nurse Anesthetist
RN551368
PA
Other
Enumeration date
09/15/2017
Last updated
04/03/2020
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