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DR. JONATHAN WINSTON PHILLIPS M.D.

Sports Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1205090974

Individual Registrant:
DR. JONATHAN WINSTON PHILLIPS M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
335 CHESTNUT ST  NORWOOD, NJ 07648-2001 US
Tel: 201-899-3560  Fax: --

Contact information for business:
7560 RED BUG LAKE RD  OVIEDO, FL 32765-6591 US
Tel: 407-951-5833  Fax: --

Registration Information:
NPI: 1205090974
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QS0010XAllopathic & Osteopathic Physicians
Family Medicine
Sports Medicine
FLME110737
Y207QS0010XAllopathic & Osteopathic Physicians
Family Medicine
NJ25MA10397400

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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