Organization
SUZANNE L. PHILLIPS, D.P.M., P.C.
Active
Other names
Bucks County Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE PHILLIPS D.P.M. (PODIATRIST/OWNER)
(267) 288-5103
Entity
Organization
Contact information
Practice address
1073 SECOND STREET PIKE, RICHBORO, PA 18954-1803
(267) 288-5103
(267) 288-5108
Mailing address
1073 SECOND STREET PIKE, RICHBORO, PA 18954-1803
(267) 288-5103
(267) 288-5108
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005525
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057434YCP8
MEDICARE GROUP PROVIDER NUMBER
PA
01
—
1389267
HIGHMARK BLUE SHIELD
PA
01
—
30080124
KEYSTONE MERCY GROUP PROVIDER NUMBER
PA
01
—
6460450001
PTAN
PA
Enumeration date
09/01/2010
Last updated
06/14/2011
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