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Jon E. Simon, M.D., LLC

Clinic/Center in Cockeysville, MD. Organization (NPI-2).

NPI number1346346830
StatusActive
Last updated in NPPESAug 5, 2011

Details

NPI
1346346830
Entity type
Organization (NPI-2)
Legal business name
Jon E. Simon, M.D., LLC
Organization subpart
No
Enumeration date
Sep 15, 2006
Last updated
Aug 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterD53156MDYes

Practice location

54 Scott Adam Rd
Suite 104
Cockeysville, MD 21030-3216

Phone 410-666-0200 · Fax 410-666-0210

Mailing address

54 Scott Adam Rd
Suite 104
Cockeysville, MD 21030-3216

Phone 410-666-0200 · Fax 410-666-0210

Authorized official

Jon E Simon
Owner/Physician
4106660200

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