Individual
JAMES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1504 NORTH MAIN STREET, PALMER, MA 01069-0188
(413) 283-3511
(413) 283-5396
Mailing address
PO BOX 188, PALMER, MA 01069-0188
(413) 283-3511
(413) 283-5396
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4261
MA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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