Individual
PHILLIP PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, NEUROLOGY - FEGAN 11, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, NEUROLOGY - FEGAN 11, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
71233
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
71233
MA
2084N0600X
Clinical Neurophysiology Physician
71233
MA
2084P0005X
Neurodevelopmental Disabilities Physician
71233
MA
Other
Enumeration date
11/01/2006
Last updated
10/21/2014
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