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Individual

STANLEY R SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
349 VALLEY ST, SOUTH ORANGE, NJ 07079-2805
(973) 763-4334
Mailing address
349 VALLEY ST, SOUTH ORANGE, NJ 07079-2805
(973) 763-4334

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MA17423
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3148106
NJ
Enumeration date
12/28/2006
Last updated
07/08/2007
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