Individual
DR. ABRAHAM SIMON
Active
Individual
DR. ABRAHAM SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB08017400
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MB08017400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135437
—
NJ
01
—
111245
MEDICARE PTAN
NJ
Enumeration date
05/09/2007
Last updated
05/14/2019
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