Individual
DR. PHILIP R. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
518 LANDMARK HILL RTE 1, A7, KITTERY, ME 03904-2500
(207) 439-0019
(207) 439-0015
Mailing address
518 LANDMARK HILL RTE 1, A7, KITTERY, ME 03904-2500
(207) 439-0019
(207) 439-0015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6018
NH
2086S0129X
Vascular Surgery Physician
6018
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106883Y0NH01
ANTHEM BC/BS
NH
05
—
81026883
—
NH
Enumeration date
09/02/2006
Last updated
10/18/2010
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