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Individual
PHILIP FORMICA
Active
Individual
PHILIP FORMICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
256905
MA
207RC0000X
Cardiovascular Disease Physician
256905
MA
207UN0901X
Nuclear Cardiology Physician
256905
MA
Other
Enumeration date
06/04/2008
Last updated
04/25/2019
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