Individual
DR. JEFFREY W PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 HIGH STREET, SUITE # DH4, MEDFORD, MA 02155
(781) 306-0200
(781) 306-0264
Mailing address
P.O. BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
250737
MA
390200000X
Student in an Organized Health Care Education/Training Program
241549
MA
Other
Enumeration date
06/19/2009
Last updated
09/13/2012
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