Individual
DR. JEFFREY LAWRENCE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
28-02 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-6267
(201) 791-6667
Mailing address
28-02 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-6267
(201) 791-6667
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD0001075
NJ
Other
Enumeration date
06/14/2006
Last updated
03/21/2011
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