Individual
ALFRED J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
100 CAMP ST, HYANNIS, MA 02601-3063
(508) 775-1984
(508) 790-1897
Mailing address
11 NEVINS ST, SUITE 201, BRIGHTON, MA 02135-3514
(617) 789-2442
(617) 789-4207
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1916
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1916
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362972
—
MA
01
—
Y70921
BCBS MA PROVIDER NUMBER
MD
Enumeration date
04/10/2007
Last updated
05/21/2021
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