Individual
ALLAN FREDERICK SIMPAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 443-1341
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD441740
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027165840001
—
PA
01
—
242278EJL
MEDICARE PTAN
PA
Enumeration date
07/27/2008
Last updated
05/19/2023
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