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Contact Information

DAVID L SIMON, M.D., J.D.
2 LEDGEBROOK DR FL 2
MANSFIELD CENTER, CT06250-1682
 Phone: 860-356-2242
 Fax: 860-786-1192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Legal Medicine

209800000X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for DAVID L SIMON · (Male)

NPI # 1962736611
Status Active
Credentials M.D., J.D.
Entity Individual
Enumeration date 09/29/2009
Last updated 04/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G88443
  • CT License # 013633
  • CT License # 13633
  • MA License # 154633
  • NY License # 60-18004
  • PA License # MD-050916L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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