Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD034047E | PA |
NPI | 1063486603 |
---|---|
Provider Name | Sheryl R Simon |
First Address | New Castle, PA 16105-1537 |
Second Address | New Castle, PA 16105-1537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 28/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C32223 | (02) | PA |