Individual
SANG E SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6890
Mailing address
1020A BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
211317
NY
2085R0001X
Radiation Oncology Physician
Primary
25MA073922
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007295366
AETNA PPO
NJ
01
—
0099584
GHI
NJ
01
—
01000597300
AMERICHOICE
NJ
01
—
1175590
HORIZON NJ HEALTH
NJ
01
—
187384
AMERIGROUP
NJ
01
—
2226084000
AMERIHEALTH HMO
NJ
01
—
223522719
HORIZON BCBS
NJ
01
—
2302E1
WELL CHOICE
NJ
01
—
2K7880
HEALTHNET
NJ
01
—
3245799
AETNA HMO
NJ
01
—
7007553
CIGNA
NJ
05
—
8889503
—
NJ
01
—
P2717905
OXFORD
NJ
Enumeration date
06/06/2006
Last updated
01/05/2011
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