Individual
LEE PAUL SIMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PAH 2 SHEIDT, PHILADELPHIA, PA 19107-6130
(215) 829-3201
(215) 829-5697
Mailing address
800 SPRUCE ST, 2 SCHIEDT, PHILADELPHIA, PA 19107-6130
(215) 829-3201
(215) 829-5697
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD028100E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011055710021
—
PA
Enumeration date
06/18/2006
Last updated
05/23/2012
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