NPI 1477198166
Antonio Phillips
Practice location
- Address
- 17 Dodd St APT A5, Bloomfield, NJ 07003-4626
- Phone
- (973) 931-7705
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1477198166
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Nov 2019
- Record last updated
- 17 Nov 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.