Individual
DR. PHILIP RYAN MOLARTE CAMILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 ENDICOTT ST STE 100, DANVERS, MA 01923-0009
(978) 745-6601
(978) 744-4872
Mailing address
104 ENDICOTT ST STE 100, DANVERS, MA 01923-0009
(978) 745-6601
(978) 744-4872
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1016606
MA
207YP0228X
Pediatric Otolaryngology Physician
Primary
1016606
MA
207YP0228X
Pediatric Otolaryngology Physician
11273467-1205
UT
208600000X
Surgery Physician
37240
SC
Other
Enumeration date
06/25/2014
Last updated
02/20/2024
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