Organization
A JEROME PHILBIN M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A JEROME PHILBIN M.D. (OWNER)
(508) 757-1431
Entity
Organization
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 757-1431
(508) 334-8154
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M13079
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/04/2006
Last updated
08/22/2020
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