Individual
PHILLIP JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 CEDAR ST, NEW HAVEN, CT 06519-1612
(347) 393-5943
Mailing address
300 CEDAR STREET, TAC 441 SOUTH P.O. BOX 208057, NEW HAVEN, CT 06520-8057
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63207
CT
207RP1001X
Pulmonary Disease Physician
Primary
63207
CT
Other
Enumeration date
05/20/2012
Last updated
07/10/2019
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