Simons, Jessica P

Simons, Jessica P is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Vascular Surgery, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Simons, Jessica P can be contacted via phone (508) 856-5599.

Contact Information

Primary practice address
55 Lake Ave N Department Of Vascular Surgery Worcester MA 01655-0002
Fax: (508) 856-8329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 224704 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 247902 Massachusetts

Profile Details

NPI number 1669527479
LBN Legal business name Simons, Jessica P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 9th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669527479 NPPES
Massachusetts MEDICAID 110095848A

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