Individual
DR. PHILIP R LAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
69 CORNELL ST, NEW BEDFORD, MA 02740-1748
(508) 996-5400
Mailing address
69 CORNELL ST, NEW BEDFORD, MA 02740-1748
(508) 996-5400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1385
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309178
—
MA
Enumeration date
12/07/2005
Last updated
07/08/2007
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