DR. HI SUP SIM M.D.

Allergy and Immunology

Havre De Grace, Maryland

Provider NPI: 1659320505

Provider Information:
DR. HI SUP SIM M.D.


Practice Location:
251 LEWIS LANE SUITE 201 HAVRE DE GRACE, MD 21078 US
Tel: 410-939-4477  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	MD	D0046412
Y	207R00000X	Physicians Internal Medicine	MD	D0046412

Other Provider Identifiers:

Issuer	Number	State	Type
PHN	10199000000	MD	01
WCDL	145388000	MD	01
BS OF DC	W724002	DC	01
DELMARVA HEALTH PLAN	W724002	MD	01
	148241600	MD	05
BS OF MD	52386701	MD	01
BS OF PA	000424675	PA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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