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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
MDD0046412
Y207R00000XPhysicians
Internal Medicine
MDD0046412

Other Provider Identifiers:

IssuerNumberStateType
PHN10199000000MD01
WCDL145388000MD01
BS OF DCW724002DC01
DELMARVA HEALTH PLANW724002MD01
148241600MD05
BS OF MD52386701MD01
BS OF PA000424675PA01
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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