Individual
PETER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4TH AND WALNUT ST, LEBANON, PA 17042
(610) 568-1380
Mailing address
2 MERIDIAN BLVD, 2ND FLOOR, WYOMISSING, PA 19610-3202
(610) 568-1380
(610) 372-3735
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD045723L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014733260001
—
PA
Enumeration date
01/12/2006
Last updated
04/02/2025
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