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Contact Information

HAROLD E PHILLIPS JR, MD
3 HERON RD
MYSTIC, CT06355-3253
 Phone: 860-536-6442
 Fax: 860-536-6442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for HAROLD E PHILLIPS JR · (Male)

NPI # 1124026869
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 06/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 036959
  • CT License # 36959
  • FL License # ME146710
  • CT Medicaid 001369596
Hospital affiliation(s)
  • FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER - (Acute Care)
    4200 SUN N LAKE BLVD
    SEBRING, FL 33871
  • FLORIDA HOSPITAL WAUCHULA - (Critical Access)
    533 CARLTON ST
    WAUCHULA, FL 33873
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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