Individual
PETER C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHCA HEMATOLOGY & ONCOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-3535
(215) 590-3992
Mailing address
100 E PENN SQ FL 9, CHCA HEMATOLOGY & ONCOLOGY, PHILADELPHIA, PA 19107-3377
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
142163
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD043817L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001008390
—
PA
05
—
0217409
—
NJ
Enumeration date
07/31/2006
Last updated
02/25/2016
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