Provider Demographics
NPI:1053304469
Name:PHILIP, LINSEY (MD)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:
Last Name:PHILIP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:277 PLEASANT ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3005
Mailing Address - Country:US
Mailing Address - Phone:508-675-3232
Mailing Address - Fax:508-675-4942
Practice Address - Street 1:277 PLEASANT ST
Practice Address - Street 2:SUITE 306
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-3005
Practice Address - Country:US
Practice Address - Phone:508-675-3232
Practice Address - Fax:508-675-4942
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2010-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA80462207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
A23118Medicare PIN
G59294Medicare UPIN