Individual
MARC HAROLD SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 43RD STREET, UNION CITY, NJ 07087
(201) 867-9002
(201) 867-2004
Mailing address
PO BOX 4456, UNION CITY, NJ 07087
(201) 867-9002
(201) 867-2004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA043043
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568205
—
NJ
Enumeration date
11/29/2006
Last updated
07/08/2007
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