Individual
DR. BETH SIMONOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
491 JOHN YOUNG WAY, SUITE 201 MAIN LINE HEALTH CENTER, EXTON, PA 19341-2567
(484) 565-8507
(610) 280-1531
Mailing address
491 JOHN YOUNG WAY, SUITE 201 MAIN LINE HEALTH CENTER, EXTON, PA 19341-2567
(484) 565-8507
(610) 280-1531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD026288E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001613900
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/25/2006
Last updated
10/02/2011
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