Individual
DR. TODD EUGENE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6333 BALTIMORE NATIONAL PIKE, CATONSVILLE, MD 21228-3910
(443) 514-1361
Mailing address
5000 COX RD STE 10, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD042303L
PA
207Q00000X
Family Medicine Physician
Primary
MD042303L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001222390
—
PA
Enumeration date
09/21/2005
Last updated
03/10/2022
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