Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35059542P | OH |
Y | 111NI0900X | Internist | 35059542P | OH |
N | 207RG0300X | Geriatric Medicine | 35.059542 | OH |
NPI | 1033111463 |
---|---|
Provider Name | Joyce M Philip |
First Address | Cincinnati, OH 45263-7676 |
Second Address | Hamilton, OH 45011-5544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 01/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0795439 | (05) | OH |
E37109 | (02) |