Simonian, Gregory T

Simonian, Gregory T is an individual health care provider with primary practice located at 211 Essex St Ste 102, Hackensack NJ 07601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Simonian, Gregory T can be contacted via phone (201) 487-8882.

Contact Information

Primary practice address
211 Essex St Ste 102 Hackensack NJ 07601
Fax: (201) 487-0943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MA060740 New Jersey

Profile Details

NPI number 1528017944
LBN Legal business name Simonian, Gregory T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 22nd, 2012 - about 12 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 1528017944 NPPES
New Jersey MEDICAID 7804806

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