| Jon E. Simon, M.D., LLC | |
|
54 Scott Adam Rd Suite 104 Cockeysville MD 21030-3216 | |
| (410) 666-0200 | |
| (410) 666-0210 |
| Full Name | Jon E. Simon, M.D., LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 54 Scott Adam Rd, Cockeysville, Maryland |
| Authorized Official Name and Position | Jon E Simon (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4106660200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon E. Simon, M.D., LLC 54 Scott Adam Rd Suite 104 Cockeysville MD 21030-3216 Ph: (410) 666-0200 | Jon E. Simon, M.D., LLC 54 Scott Adam Rd Suite 104 Cockeysville MD 21030-3216 Ph: (410) 666-0200 |
| NPI Number | 1346346830 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346346830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D53156 (Maryland) | Primary |
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