Individual
DR. CAROLYN ANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 2ND AVE, G 108, COLLEGEVILLE, PA 19426-3600
(610) 831-1901
(610) 831-1902
Mailing address
555 2ND AVE, G 108, COLLEGEVILLE, PA 19426-3600
(610) 831-1901
(610) 831-1902
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS020931L
PA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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