Individual
EGBERT SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 N BEERS ST, BAYSHORE COMMUNITY HOSPITAL, HOLMDEL, NJ 07733-1514
(732) 739-5900
Mailing address
PO BOX 748, LIVINGSTON, NJ 07039-0748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MAO6537200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7344201
—
NJ
Enumeration date
10/12/2006
Last updated
12/29/2015
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