Jeremy Ian Simon
Pain Medicine
925 Chestnut St Fifth Floor
Philadelphia
, Pennsylvania 19107-4216
Jeremy Ian Simon
Pain Medicine
925 Chestnut St Fifth Floor
Philadelphia
, Pennsylvania 19107-4216
(267) 339-3761
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Jeremy Ian Simon
- 833 Chestnut St Suite 1402
- Philadelphia, PA
- Zip : 19107-4414
- Fax : (267) 339-3761
- Phone : (800) 321-9999
Second Address
- Jeremy Ian Simon
- 925 Chestnut St Fifth Floor
- Philadelphia, PA
- Zip : 19107-4216
- Fax : (215) 503-0580
- Phone : (267) 339-3500
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081P2900X | Pain Medicine | 25MA09061400 | NJ |
| N | 2081P2900X | Pain Medicine | D65463 | MD |
| Y | 2081P2900X | Pain Medicine | MD427039 | PA |
National Provider Identifier
| NPI | 1073538971 |
|---|---|
| Provider Name | Jeremy Ian Simon |
| First Address | Philadelphia, PA 19107-4414 |
| Second Address | Philadelphia, PA 19107-4216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 10/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3317718000 | IBC (01) | PA |
| I49335 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.