Individual
DR. PHILLIP B STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34TH & CIVIC CENTER BLVD., PHILADELPHIA, PA 19104-4306
(215) 590-2780
(215) 590-4809
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD421634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001972326
—
PA
05
—
001972326-0001
—
PA
Enumeration date
10/18/2006
Last updated
11/29/2023
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