Individual
MATTHEW J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203
(716) 829-3670
(716) 829-3673
Mailing address
4225 GENESEE ST, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200
(716) 204-4337
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
202454-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01762041
—
NY
Enumeration date
02/13/2006
Last updated
06/28/2018
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