Doctor Name: | DR. HOWARD JAMES PHILLIPS |
NPI Number: | 1184782716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, PHD OCS, FAAOMPT |
License Number: | 40QA00296600 |
Business Practice Address: | 495 Boulevard Unit 4 Elmwood Park, NJ - 074072041 |
Business Phone Number: | 2013707195 |
Business Fax Number: | |
Mailing Address: | 33 Summit Pt, RINGWOOD |
State: | NJ |
Postal Code: | 074562968 |
Phone Number: | 2013707195 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00296600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |