Search › Pennsylvania › 2084N0400X
Simon Thebault, M.D
NPI 1174258305 · on the registry since 2022
Practice
- Address
- 3400 Civic Center Blvd S
2nd Floor
Philadelphia, PA 19104 - Phone
- (215) 316-5151
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania