Individual
DR. ERROL A PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1419 FOREST DR, ANNAPOLIS, MD 21403-1482
(410) 990-0050
(410) 990-0336
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6560
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0009453
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
05256
AMERIGROUP
—
01
—
100045
AETNA HMO
—
05
—
121071800
—
MD
01
—
147736500
FEDERAL WORKMANS COMP
—
01
—
267081
MAMSI
—
01
—
34655005
BCBS
MD
01
—
34655005
BCBS
—
01
—
4069881
AETNA PPO
—
01
—
6531185
AETNA HMO
MD
01
—
X602-0001
BCBS
DC
Enumeration date
07/20/2005
Last updated
08/24/2015
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