Individual
PHILIP A. SERBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 MCFARLAND ST, MORRISTOWN, TN 37814-3977
(423) 581-6084
(423) 581-6078
Mailing address
701 MCFARLAND ST, MORRISTOWN, TN 37814-3977
(423) 581-6084
(423) 581-6078
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01043057A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091700
ANTHEM PROVIDER NUMBER
IN
01
—
100194370
MEDICAID GROUP NUMBER
IN
05
—
100462170
—
IN
01
—
340017214
MEDICARE RAILROAD
IN
05
—
Q005360
—
TN
Enumeration date
07/28/2006
Last updated
06/30/2020
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