| Gloria Simonson, Md, Llc | |
|
111 W High St Elkton MD 21921-5529 | |
| (410) 398-4679 | |
| Not Available |
| Full Name | Gloria Simonson, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 W High St, Elkton, Maryland |
| Authorized Official Name and Position | Jessica Cornell (CREDENTAILING COORDINATOR) |
| Authorized Official Contact | 4103984679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Simonson, Md, Llc 213 North St Elkton MD 21921-5512 Ph: (410) 398-4679 | Gloria Simonson, Md, Llc 111 W High St Elkton MD 21921-5529 Ph: (410) 398-4679 |
| NPI Number | 1104968668 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104968668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0056449 (Maryland) | Primary |
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