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NPI Code Detail

MEDICARE: TOBY SIMMONS CNA

MEDICARE: TOBY SIMMONS CNA
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
1376K00000XNurse's AideNA NJ0608219791NJ

General Provider Information

NPI Number : 1932340007
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOBY SIMMONS CNA
Provider Business Mailing Address
First Line : 3700 NEW JERSEY AVE
Second Line : APT G4
City : WILDWOOD
State : NJ
Zip : 08260-6154
Country : US
Telephone Number : 800-950-6066
Fax Number :
Provider Business Practice Location Address
First Line : 3700 NEW JERSEY AVE
Second Line : APT G4
City : WILDWOOD
State : NJ
Zip : 08260-6154
Country : US
Telephone Number : 800-950-6066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2009
Last Update Date : 03/18/2009

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Directions to “ TOBY SIMMONS CNA” Practice Location

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