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Individual
JUDITH P PHILLIPS
Active
Individual
JUDITH P PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6173
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110131668A
—
MA
05
—
3139069
—
NH
Enumeration date
07/19/2017
Last updated
09/16/2025
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