Individual
DR. HAROLD EUGENE PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 HERON RD, MYSTIC, CT 06355-3253
(860) 536-6442
(860) 536-6442
Mailing address
3 HERON RD, MYSTIC, CT 06355-3253
(860) 536-6442
(860) 536-6442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36959
CT
207Q00000X
Family Medicine Physician
ME146710
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036959
CT
208M00000X
Hospitalist Physician
ME146710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001369596
—
CT
Enumeration date
07/07/2005
Last updated
06/22/2021
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