Antonio Phillips
NPI #1477198166 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1477198166
- Entity Type
- Individual
- Name
- Antonio Phillips
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Enumeration Date
- Nov 17, 2019
- Last Updated
- Nov 17, 2019
Practice Location
- Address
- 17 DODD ST APT A5
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4626
- Phone
- (973) 931-7705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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