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General NPI Number Information
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NPI Number | 1518386556
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Entity Type | Individual
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Provider Name | BENJAMIN E. SIMSON MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 7474 GREENWAY CENTER DR STE 300
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City | GREENBELT
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State | MD
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Zip | 20770-3592
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Country | US
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Telephone | 240-624-2278
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Fax | 240-624-2279
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Provider Business Mailing Address
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Address Line | 7615 ORA GLEN DR
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City | GREENBELT
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State | MD
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Zip | 20770-3642
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Country | US
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Telephone | 240-624-2323
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Fax | 855-540-2225
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D85060
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License Number State | MD
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