Provider Demographics
NPI:1588772974
Name:TOPAL, SIMONE (MD)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:TOPAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3100
Mailing Address - Country:US
Mailing Address - Phone:413-584-0044
Mailing Address - Fax:413-584-0099
Practice Address - Street 1:40 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-3100
Practice Address - Country:US
Practice Address - Phone:413-584-0044
Practice Address - Fax:413-584-0099
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10765208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205249Medicaid
VT1011685Medicaid
VT1011685Medicaid
NH30205249Medicaid