Individual
MR. JOSEPH ROBERT PHOENIX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 SUMMER ST STE 202A, TAUNTON, MA 02780-3469
(508) 330-7679
(508) 884-2476
Mailing address
35 SUMMER ST STE 202A, TAUNTON, MA 02780-3469
(508) 330-7679
(508) 884-2476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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