Simon, Jill Zimmer

Simon, Jill Zimmer is an individual health care provider with primary practice located at 2014 Washington St , Newton MA 02462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Simon, Jill Zimmer can be contacted via phone (617) 243-6040.

Contact Information

Primary practice address
2014 Washington St Newton MA 02462
Phone: (617) 243-6040
Fax: (617) 243-6924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 216446 Massachusetts

Profile Details

NPI number 1104887678
LBN Legal business name Simon, Jill Zimmer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104887678 NPPES
Massachusetts MEDICAID 2091046
Massachusetts Other J28383
Massachusetts Other 469103
Massachusetts Other AA39789

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