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Individual

ANDREW L. SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
459 JACK MARTIN BLVD, SUITE 3, BRICK, NJ 08724-7724
(732) 840-0900
(732) 840-0912
Mailing address
459 JACK MARTIN BLVD STE 3, BRICK, NJ 08724-7724
(732) 840-0900
(732) 840-0912

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA05112300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7104406
CIGNA
NJ
Enumeration date
04/03/2006
Last updated
02/17/2015
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