Healthcare Provider Details

I. General information

NPI: 1750486130
Provider Name (Legal Business Name): HECTOR F SIMOSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 LINCOLN ST 6TH FLOOR
FRAMINGHAM MA
01702-8200
US

IV. Provider business mailing address

85 LINCOLN ST FL 6
FRAMINGHAM MA
01702-8200
US

V. Phone/Fax

Practice location:
  • Phone: 508-383-1078
  • Fax: 508-383-1085
Mailing address:
  • Phone: 508-383-1078
  • Fax: 508-383-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number209378
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number209378
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: