Individual
DR. PHILIP SEVERIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81961
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3173020
—
MA
Enumeration date
03/30/2006
Last updated
10/18/2010
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