Ellen M Simon, M.D.
Internal Medicine, Cardiovascular Disease in Brunswick, ME. Individual provider (NPI-1).
NPI number1649227331
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1649227331
- Entity type
- Individual (NPI-1)
- Name
- Ellen M Simon
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- May 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD16225 | ME | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 160838 | MA | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 160838 | MA |
Practice location
121 Medical Center DrSuite 3100
Brunswick, ME 04011-2653
Phone 207-729-7939 · Fax 207-725-4717
Mailing address
121 Medical Center DrSuite 3100
Brunswick, ME 04011-2653
Phone 207-729-7939 · Fax 207-725-4717
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