Individual
KEVIN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1404
(973) 596-2850
(973) 596-8180
Mailing address
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1404
(973) 596-2850
(973) 596-8181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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