Individual
MRS. MOLLIE ABIGAIL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2020-0355
NM
207RA0002X
Adult Congenital Heart Disease Physician
Primary
MD2020-0355
NM
208000000X
Pediatrics Physician
MD2020-0355
NM
2080P0202X
Pediatric Cardiology Physician
MD2020-0355
NM
Other
Enumeration date
04/11/2011
Last updated
05/24/2024
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