Individual
LESLIE SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 43RD ST, UNION CITY, NJ 07087-5009
(201) 583-1600
(201) 583-1114
Mailing address
415 43RD ST, UNION CITY, NJ 07087-5009
(201) 583-1600
(201) 583-1114
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MA069032
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8043604
—
NJ
Enumeration date
11/15/2006
Last updated
07/08/2007
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