Doctor Name: | DR. CATHERINE HAWLEY PHILLIPS |
NPI Number: | 1952664484 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 252405 |
Business Practice Address: | 680 Centre St Brockton, MA - 023023308 |
Business Phone Number: | 5089417000 |
Business Fax Number: | |
Mailing Address: | 5 Chatham Way, WATERTOWN |
State: | MA |
Postal Code: | 024724100 |
Phone Number: | 3365756411 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 252405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |