Provider Demographics
NPI:1427117787
Name:PHILLIPS & GREEN MD LP
Entity type:Organization
Organization Name:PHILLIPS & GREEN MD LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD FACS
Authorized Official - Phone:301-248-2100
Mailing Address - Street 1:9400 LIVINGSTON ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FORT WASH
Mailing Address - State:MD
Mailing Address - Zip Code:20744
Mailing Address - Country:US
Mailing Address - Phone:301-248-2100
Mailing Address - Fax:301-248-2182
Practice Address - Street 1:9400 LIVINGSTON ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:FORT WASH
Practice Address - State:MD
Practice Address - Zip Code:20744
Practice Address - Country:US
Practice Address - Phone:301-248-2100
Practice Address - Fax:301-248-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty