Individual
DR. HADLEY H PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
619 RIVER DR, ELMWOOD PARK, NJ 07407-1317
(201) 796-2020
(201) 796-4833
Mailing address
619 RIVER DR, ELMWOOD PARK, NJ 07407-1317
(201) 796-2020
(201) 796-4833
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MB04177700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073085
GHI HMO PIN
NJ
01
—
0091878
AETNA PIN
NJ
01
—
01000189401
AMERICHOICE MEDICAID PIN
NJ
01
—
01682888
MEDICAID NY
NJ
01
—
0804391006
CIGNA PIN
NJ
01
—
1042831
HORIZON NJ HEALTH PIN
NJ
01
—
10D631
WELLCHOICE
NJ
01
—
14D63
EMPIRE BCBS
NJ
01
—
16183
AMERIGROUP PIN
NJ
01
—
16228
UNIVERSITY HEALTH PLAN
NJ
01
—
176769
UNITED HEALTHCARE PIN
NJ
01
—
180001612
RAILROAD MEDICARE PIN
NJ
05
—
3163202
—
NJ
01
—
AMERIHEALTH
00102907000
NJ
01
—
BS807
OXFORD LIBERTY PIN
NJ
01
—
OK7453
HEALTHNET PIN
NJ
Enumeration date
05/03/2006
Last updated
02/14/2012
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