Search › Pennsylvania › 163WP0809X
Sam Simon, CRNP
NPI 1326769399 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4200 Monument Road
Outpatient Building
Philadelphia, PA 19131 - Phone
- (215) 877-2000
- Organisation at this address
- Lafayette Anesthesia Group, Llc
Belmont Behavioral Hospital, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Registry record
- Primary taxonomy
- 163WP0809X
163WP0809X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-08
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