Individual
DR. NANCY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 PATERSON ST, SUITE 4200, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6600
(732) 235-6650
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA05785700
NJ
207VG0400X
Gynecology Physician
MA57857
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5145503
—
NJ
Enumeration date
03/27/2007
Last updated
07/23/2021
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