Individual
DR. TANIA J. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 8, BOSTON, MA 02118
(617) 638-7420
(617) 638-7289
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
72540
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068358
—
MA
Enumeration date
11/02/2005
Last updated
12/20/2011
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