| Dr. Ronald B Phillips And Associates Pc | |
|
648a E Chester Pike Ridley Park PA 19078-1701 | |
| (610) 237-0100 | |
| (610) 237-0114 |
| Full Name | Dr. Ronald B Phillips And Associates Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 648a E Chester Pike, Ridley Park, Pennsylvania |
| Authorized Official Name and Position | Ronald B Phillips (DR) |
| Authorized Official Contact | 6102370100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ronald B Phillips And Associates Pc 648a E Chester Pike Ridley Park PA 19078-1701 Ph: (610) 237-0100 | Dr. Ronald B Phillips And Associates Pc 648a E Chester Pike Ridley Park PA 19078-1701 Ph: (610) 237-0100 |
| NPI Number | 1306344031 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 7810232618 |
|---|---|
| Medicare Enrollment ID | O20181226001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306344031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS002996L (Pennsylvania) | Primary |
| Provider Name | Ronald B Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801835145 PECOS PAC ID: 5698722031 Enrollment ID: I20050407000193 |
| Provider Name | Loretta F Brown |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1083855456 PECOS PAC ID: 4880833706 Enrollment ID: I20130625000278 |
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