Provider Demographics
NPI:1326139007
Name:SIMPSON, THOMAS ERNST (MD,FACS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ERNST
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1902
Mailing Address - Country:US
Mailing Address - Phone:201-339-2332
Mailing Address - Fax:201-339-2465
Practice Address - Street 1:124 W 32ND ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-1902
Practice Address - Country:US
Practice Address - Phone:201-339-2332
Practice Address - Fax:201-339-2465
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA42441208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery