Individual
NIRMOL MARY PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD STE 750, CHESTERFIELD, MO 63017-3625
(314) 205-6600
(314) 434-5939
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0011357
DE
207RI0200X
Infectious Disease Physician
Primary
2019029123
MO
Other
Enumeration date
05/02/2012
Last updated
09/11/2019
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