Individual
S MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-2775
Mailing address
3737 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-2775
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD017162E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006630590001
—
PA
Enumeration date
07/28/2006
Last updated
10/23/2014
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