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Contact Information

RUSSELL E PHILLIPS, MD
100 E LANCASTER AVE
415 LANKENAU MEDICAL OFFICE BUILDING SOUTH
WYNNEWOOD, PA19096-3450
 Phone: 610-896-5710
 Fax: 610-896-1667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RUSSELL E PHILLIPS · (Male)

NPI # 1013085455
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2006
Last updated 06/28/2012 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD015455E
  • Other 125370300 DEPT OF LABOR, OWCP
  • PA Other PH126779 HIGHMARK BLUE SHIELD
  • PA Other 0056423000 INDEPENDENCE BLUE CROSS
Hospital affiliation(s) Not Available
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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