Individual
DR. AGNES H SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
6201 CHESTNUT ST, PHILADELPHIA, PA 19139-2906
(215) 747-1744
(215) 747-0336
Mailing address
P. O. BOX 13042, PHILADELPHIA, PA 19101
(215) 747-1744
(215) 747-0336
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD021009E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000632366
—
PA
Enumeration date
11/30/2006
Last updated
07/24/2008
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