Organization
BRADLEY J PHILLIPS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J PHILLIPS M.D. (SENIOR ADMINSTRATOR/PRESIDENT)
(732) 249-6101
Entity
Organization
Contact information
Practice address
1543 ROUTE 27, SUITE 23, SOMERSET, NJ 08873
(732) 249-6101
(732) 249-6102
Mailing address
PO BOX 7063, NEW BRUNSWICK, NJ 08902-7063
(732) 249-6101
(732) 249-6102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06584600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7384009
—
NJ
Enumeration date
05/14/2008
Last updated
07/24/2008
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