Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN K PHILLIP, NDTR
Active Sole ProprietorMS. SUSAN K PHILLIP, NDTR is a 136A00000X healthcare provider located in DORCHESTER, Massachusetts. NPI 1225592736 is currently active in the NPPES registry. Verify at CMS.
136A00000X · DORCHESTER, MA
Registration Details
- NPI Number
- 1225592736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2019 (7.5743318678324 yrs)
- Last Updated
- Mar 18, 2019
- License
-
1018812
- Sole Proprietor
- Yes
Practice Information
- Address
-
67 GLENDALE STDORCHESTER, MA, 021252404Browse MA providers · Browse ZIP 02125
- Phone
- 6172334950
- Primary Specialty
-
136A00000X
136A00000X
- Additional Specialty
- Health Educator
- Additional Specialty
- 136A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.