Individual
DR. SHIBU MATHEW PHILIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711-3446
(570) 808-7779
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD443642
PA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
MD443642
PA
2085R0202X
Diagnostic Radiology Physician
MD443642
PA
Other
Enumeration date
05/13/2008
Last updated
07/21/2022
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