NPI 1316405384

Keith Phillips

Practitioner Basic Emergency Medical Technician Newark, NJ

Practice location

Address: 39 Wilbur Ave, Newark, NJ 07112-2311
Phone: (908) 472-7486
Fax: (908) 351-5109

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X

Other Emergency Medical Technician, Basic providers in New Jersey →

Registry record

NPI: 1316405384
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2019
Record last updated: 7 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.