Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD430551 | PA |
N | 207KA0200X | Allergist | MD430551 | PA |
N | 208000000X | Pediatrician | 25MA08244000 | NJ |
N | 208000000X | Pediatrician | MD430551 | PA |
NPI | 1538288162 |
---|---|
Provider Name | Alyson Beth Simpson |
First Address | Lansdale, PA 19446-5242 |
Second Address | Gladwyne, PA 19035-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 15/02/2015 |