Organization
PHILLIPS INTEGRATIVE HEALTH
Active
Other names
MOUNT MORIAH MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD EUGENE PHILLIPS JR. M.D. (OWNER)
(860) 405-1500
Entity
Organization
Contact information
Practice address
801 POQUONNOCK RD, SUITE 6, GROTON, CT 06340-4564
(860) 405-1500
(800) 379-8041
Mailing address
11 WICKLOW TURN, LEDYARD, CT 06339-1341
(860) 464-2871
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036959
CT
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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