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General NPI Number Information
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NPI Number | 1366557969
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Entity Type | Organization
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Legal Business Name | LOUIS J SIMONETTI DO PC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 168 W RIDGE PIKE SUITE 220
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City | LIMERICK
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State | PA
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Zip | 19468-1778
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Country | US
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Telephone | 610-454-9488
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Fax | 610-409-8744
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Provider Business Mailing Address
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Address Line | 168 W RIDGE PIKE SUITE 220
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City | LIMERICK
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State | PA
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Zip | 19468-1778
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Country | US
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Telephone | 610-454-9488
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Fax | 610-409-8744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOUIS J SIMONETTI
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Credential | DO
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Telephone | 610-454-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS006144L
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License Number State | PA
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