Simon, Elisabeth M

Simon, Elisabeth M is an individual health care provider with primary practice located at 33 Brunswick Woods Drive , East Brunswick NJ 08816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Simon, Elisabeth M can be contacted via phone (732) 257-4330.

Contact Information

Primary practice address
33 Brunswick Woods Drive East Brunswick NJ 08816
Phone: (732) 257-4330
Fax: (732) 257-5986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA06281100 New Jersey

Profile Details

NPI number 1649360405
LBN Legal business name Simon, Elisabeth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649360405 NPPES
New Jersey Other 222130958 TAX ID
New Jersey MEDICAID 7066601 TAX ID

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