Individual
PETRA SIMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-251549
MA
207RN0300X
Nephrology Physician
Primary
266809
MA
Other
Enumeration date
05/09/2012
Last updated
11/20/2017
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