# SUZANNE L. PHILLIPS, D.P.M., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bucks County Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528375334
- **Authorized official:** DR. SUZANNE PHILLIPS D.P.M. (PODIATRIST/OWNER)
- **Authorized official phone:** (267) 288-5103

## Contact information

- **Practice address:** 1073 SECOND STREET PIKE, RICHBORO, PA 18954-1803
- **Practice address phone:** (267) 288-5103
- **Practice address fax:** (267) 288-5108
- **Mailing address:** 1073 SECOND STREET PIKE, RICHBORO, PA 18954-1803
- **Mailing address phone:** (267) 288-5103
- **Mailing address fax:** (267) 288-5108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005525 | PA | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 06/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 057434YCP8 | MEDICARE GROUP PROVIDER NUMBER | PA |
| 01 | — | 1389267 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 30080124 | KEYSTONE MERCY GROUP PROVIDER NUMBER | PA |
| 01 | — | 6460450001 | PTAN | PA |