Dr. Harold E Phillips Jr., MD
Family Medicine in Mystic, Connecticut
1124026869- Practice location
- 3 Heron RD, Mystic, CT 06355-3253
- Phone
- 860-536-6442
- Fax
- 860-536-6442
- Last updated
- June 22, 2021
Harold Eugene Phillips is a Family Medicine based in Mystic, CT. Harold Eugene Phillips practices in Mystic, CT and has the professional credentials of MD. The NPI Number for Harold Eugene Phillips is 1124026869 and holds a License No. ME146710 (FL). The current practice location address for Harold Eugene Phillips is 3 Heron RD, Mystic, CT 06355-3253 and can be reached out via phone at 860-536-6442 and via fax at 860-536-6442.
Provider Profile Details
- NPI Number
- 1124026869
- Provider Name
- Harold Eugene Phillips
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Heron RD, Mystic, CT 06355-3253
- Phone Number
- 860-536-6442
- Fax Number
- 860-536-6442
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 7, 2005
- Last Update Date
- June 22, 2021
- Certification Date
- June 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Heron RD
Mystic, CT 06355-3253 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-3253
- Phone Number
- 860-536-6442
- Fax Number
- 860-536-6442
Provider Business Mailing Address Details
- Address
- 3 Heron RD
Mystic, CT 06355-3253 - City
- Mystic
- State
- CT
- Zip
- 06355-3253
- Phone Number
- 860-536-6442
- Fax Number
- 860-536-6442
License Information
- License Number (1)
- ME146710
- License State (1)
- FL
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 036959
- License State (2)
- CT
- Taxonomy (2)
- Family Medicine, Geriatric Medicine · 207QG0300X
- License Number (3)
- ME146710
- License State (3)
- FL
- Taxonomy (3)
- Hospitalist · 208M00000X
- License Number (4)
- 36959
- License State (4)
- CT
- Taxonomy (4)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Harold E Phillips Jr., MD?
The NPI number of Dr. Harold E Phillips Jr., MD is 1124026869. It was assigned on July 7, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Harold E Phillips Jr., MD?
Dr. Harold E Phillips Jr., MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in FL under license number ME146710.
Where does Dr. Harold E Phillips Jr., MD practice?
The practice location is 3 Heron RD, Mystic, CT 06355-3253. The office can be reached at 860-536-6442 (phone) or 860-536-6442 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124026869 directly on the NPPES registry website.