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NPI Code Detail

MEDICARE: JUDITH SIMON MD

MEDICARE:   JUDITH  SIMON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianMD63625NJ

General Provider Information

NPI Number : 1215921291
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH SIMON MD
Provider Business Mailing Address
First Line : 21 N GILBERT ST
Second Line :
City : TINTON FALLS
State : NJ
Zip : 07701-4950
Country : US
Telephone Number : 732-741-1902
Fax Number : 732-741-1919
Provider Business Practice Location Address
First Line : 21 N GILBERT ST
Second Line :
City : TINTON FALLS
State : NJ
Zip : 07701-4950
Country : US
Telephone Number : 732-741-1902
Fax Number : 732-741-1919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 10/29/2007

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Directions to “ JUDITH SIMON MD” Practice Location

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