Individual
MR. ERIC PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
1508 W ERIE AVE, PHILADELPHIA, PA 19140-4139
(215) 236-2832
Mailing address
1508 W ERIE AVE, PHILADELPHIA, PA 19140-4139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN556933
PA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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