Provider Demographics
NPI:1336105584
Name:DEVLIN, PHILLIP MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:MARTIN
Last Name:DEVLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 FRANCIS STREET ASB1 L2
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL RADIATION ONCOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-6331
Mailing Address - Fax:617-278-6988
Practice Address - Street 1:75 FRANCIS STREET ASB1 L2
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL RADIATION ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1513182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology