Phillips, Benjamin R.

Phillips, Benjamin R. is an individual health care provider with primary practice located at 1100 Walnut St Mob, 5Th Floor, Philadelphia PA 19107-5563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Phillips, Benjamin R. can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Mob, 5Th Floor Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 923-8222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2005-01072 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA08649700 New Jersey
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MA08649700 New Jersey
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD433750 Pennsylvania

Profile Details

NPI number 1841281995
LBN Legal business name Phillips, Benjamin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Dec 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841281995 NPPES
North Carolina MEDICAID 5901864
North Carolina Other MA08649700

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