Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 0101051165 | VA |
N | 2080N0001X | Neonatal-Perinatal Doctor | 137661-1 | NY |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 25MA03786200 | NJ |
N | 2080N0001X | Neonatal-Perinatal Doctor | 35.065356 | OH |
N | 2080N0001X | Neonatal-Perinatal Doctor | MD054831L | PA |
NPI | 1134243389 |
---|---|
Provider Name | Dr. Robert L Simon |
First Address | Bridgeton, NJ 08302-7152 |
Second Address | Bridgeton, NJ 08302-7152 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |