Individual
EMILIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CUMMINGS CTR, SUITE 304T, BEVERLY, MA 01915-6198
(978) 998-3154
(978) 998-3156
Mailing address
900 CUMMINGS CTR, SUITE 304T, BEVERLY, MA 01915-6198
(978) 998-3154
(978) 998-3156
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
232514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000995801
MEDICARE PTAN
MA
01
—
1356593701
GROUP NPI
MA
05
—
2165414
—
MA
01
—
32150487207
NATIONAL LETTER CARRIERS
—
01
—
340020219
RR MEDICARE
—
01
—
45988
GHI
—
Enumeration date
04/21/2006
Last updated
10/12/2016
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