Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MT215955 | PA |
NPI | 1053804781 |
---|---|
Provider Name | Ramez Philips |
First Address | Philadelphia, PA 19107-4531 |
Second Address | Philadelphia, PA 19107-4204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 07/06/2018 |