Organization Name: | SUZANNE L. PHILLIPS, D.P.M., P.C. |
NPI Number: | 1528375334 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE PHILLIPS (PODIATRIST/OWNER) |
Mailing Address: | 1073 Second Street Pike Richboro |
State: | PA US |
Postal Code: | 189541803 |
Phone Number: | 2672885103 |
Fax Number: | 2672885108 |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 06/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC005525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |