Individual
DR. PHILLIP TOMAS GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Mailing address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
279143
NY
207X00000X
Orthopaedic Surgery Physician
Q8255
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
279143
NY
Other
Enumeration date
05/20/2010
Last updated
03/23/2020
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