Individual
BONALD THEUS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 CENTRAL AVE, BROOKLYN, NY 11221-4501
(718) 443-9300
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
(718) 963-8529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
237115
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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