Individual
JILLIAN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 LONGWOOD AVE DEPT OF, BOSTON, MA 02115
(617) 355-7252
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA6506
MA
363AS0400X
Surgical Physician Assistant
Primary
PA6506
MA
Other
Enumeration date
03/18/2018
Last updated
03/15/2020
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