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Contact Information

JONATHAN T SIMON, MD
22 WESTFIELD AVE
ANSONIA, CT06401
 Phone: 203-736-9919
 Fax: 203-735-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for JONATHAN T SIMON · (Male)

NPI Number 1073565511
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 09/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 46849
  • NY License # 234884
  • CT Medicaid 008002867
Hospital affiliation(s)
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
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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