Simon, Mary A.

Simon, Mary A. is an sole proprietor health care provider with primary practice located at 7 Melrose Dr , Farmington CT 06032-0893. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Simon, Mary A. can be contacted via phone (860) 677-1778.

Contact Information

Primary practice address
7 Melrose Dr Farmington CT 06032-0893
Phone: (860) 677-1778
Fax: (860) 677-1730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036049 Connecticut

Profile Details

NPI number 1326166125
LBN Legal business name Simon, Mary A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jan 3rd, 2013 - about 13 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 1326166125 NPPES
Connecticut MEDICAID 001 360 495

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