Individual
DR. DAVID L SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
2 LEDGEBROOK DR FL 2, MANSFIELD CENTER, CT 06250-1682
(860) 356-2242
(860) 786-1192
Mailing address
PO BOX 618, MANSFIELD CENTER, CT 06250-0618
(860) 356-2242
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
013633
CT
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
13633
CT
207LA0401X
Addiction Medicine (Anesthesiology) Physician
154633
MA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
60-18004
NY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
G88443
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
MD-050916L
PA
208VP0000X
Pain Medicine Physician
013633
CT
208VP0014X
Interventional Pain Medicine Physician
013633
CT
209800000X
Legal Medicine (M.D./D.O.) Physician
013633
CT
Other
Enumeration date
09/29/2009
Last updated
04/30/2019
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