Individual
ALEXIS DARLENE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5820
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-2261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1022297
MA
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
MA
Other
Enumeration date
04/05/2022
Last updated
04/24/2025
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