Individual
SIMONE FLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BOWMAN DR STE E385 BACK, VOORHEES, NJ 08043-9638
(856) 840-4534
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00736700
NJ
363A00000X
Physician Assistant
MA064025
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0923125
—
NJ
Enumeration date
01/13/2022
Last updated
01/09/2025
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