Individual
JENNIFER C. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 254-2730
(215) 254-2735
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD422936
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100933086-03
AMERICHOICE
PA
05
—
1009330860002
—
PA
01
—
1610575
HIGHMARK BLUE SHIELD
PA
01
—
2290910000
KEYSTONE IBC
PA
01
—
2435645
UNITED HEALTHCARE
PA
01
—
30017114
KEYSTONE MERCY
PA
01
—
3630679
AETNA
PA
01
—
8062810
CIGNA
PA
Enumeration date
10/05/2006
Last updated
08/17/2012
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