Organization
RUSSELL E. PHILLIPS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL E. PHILLIPS M.D. (PRESIDENT)
(610) 896-5710
Entity
Organization
Contact information
Practice address
31 LANKENAU MEDICAL BLDG. WEST, 100 LANCASTER AVENUE, WYNNEWOOD, PA 19096-3450
(610) 896-5710
Mailing address
31 LANKENAU MEDICAL BLDG. WEST, 100 LANCASTER AVENUE, WYNNEWOOD, PA 19096-3450
(610) 896-5710
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD015455E
PA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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