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Contact Information

BRADLEY J PHILLIPS MD LLC
1543 ROUTE 27
SUITE 23
SOMERSET, NJ08873
 Phone: 732-249-6101
 Fax: 732-249-6102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BRADLEY J PHILLIPS MD LLC

NPI # 1821265349
LBN Legal business name BRADLEY J PHILLIPS MD LLC
Authorized official BRADLEY PHILLIPS - (SENIOR ADMINSTRATOR/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2008
Last updated 07/24/2008 - About 18 years ago
Identifiers
NJ License # 25MA06584600
NJ Medicaid 7384009
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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