Individual
DR. PHILIP GUSTAV HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5891
(401) 444-8158
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2884
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD15050
RI
207RC0000X
Cardiovascular Disease Physician
MT190085
PA
Other
Enumeration date
04/24/2007
Last updated
03/20/2026
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