Individual
DR. FAY L BENNETT-PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 HOW LN, SUITE 2B, NORTH BRUNSWICK, NJ 08902-4600
(732) 249-6164
(732) 249-6164
Mailing address
PO BOX 7184, NORTH BRUNSWICK, NJ 08902-7184
(732) 249-6164
(762) 249-6162
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06534600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7384106
—
NJ
Enumeration date
05/11/2006
Last updated
11/21/2016
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