Provider Demographics
NPI:1003851288
Name:FILIPPIS, PHILIP JOHN II (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JOHN
Last Name:FILIPPIS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:220 HAMBURG TPKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2110
Mailing Address - Country:US
Mailing Address - Phone:973-389-9975
Mailing Address - Fax:973-389-9976
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:SUITE 2
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-389-9975
Practice Address - Fax:973-389-9976
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA56642207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5480302Medicaid
NJ5480302Medicaid
NJF51541Medicare UPIN