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Individual
PRINCE PHILIP
Active
Individual
PRINCE PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10471800
NJ
207R00000X
Internal Medicine Physician
Primary
U6050
TX
208D00000X
General Practice Physician
25MA10471800
NJ
Other
Enumeration date
07/20/2016
Last updated
09/25/2023
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