Simon, Eddy
Simon, Eddy is an individual health care provider with primary practice located at 310 Central Avenue Suite 102, East Orange NJ 07018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Simon, Eddy can be contacted via phone (973) 395-1550.Contact Information
Primary practice address
310 Central Avenue Suite 102
East Orange NJ 07018
Phone: (973) 395-1550
Fax: (973) 395-1556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA062638 | New Jersey |
Profile Details
| NPI number | 1851385058 |
|---|---|
| LBN Legal business name | Simon, Eddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Apr 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851385058 | NPPES |
| New Jersey | MEDICAID | 6687504 |
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