Individual
DR. SIMON TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 BRIDGEPORT AVE # 101, SHELTON, CT 06484-4734
(203) 225-0296
Mailing address
10962 FRANCIS LEWIS BLVD, WALGREENS PHARMACY, QUEENS VILLAGE, NY 11429-1753
(718) 740-4612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062002
NY
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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