Organization
DONNA M. DEPHILLIPS LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M DEPHILLIPS M.D. (OWNER)
(201) 417-4931
Entity
Organization
Contact information
Practice address
7 WESTMINSTER PL, OLD TAPPAN, NJ 07675-6807
(201) 417-4931
Mailing address
PO BOX 2098, RIVER VALE, NJ 07675-9001
(201) 417-4931
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA60823
NJ
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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