Doctor Name: | SUZANNE L. PHILLIPS |
NPI Number: | 1053349589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | SC005525 |
Business Practice Address: | 1073 Second Street Pike Richboro, PA - 189541803 |
Business Phone Number: | 2672885103 |
Business Fax Number: | 2672885108 |
Mailing Address: | 1073 Second Street Pike, RICHBORO |
State: | PA |
Postal Code: | 189541803 |
Phone Number: | 2672885103 |
Fax Number: | 2672885108 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 01/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | SC005525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |