Frederick B Phillips
PROGRESSIVE LIFE INSTITUTE INC


Address: 1933 Montana Ave Ne, Washington, DC 20002-1817
Phone: 2028422016

Frederick B Phillips (NPI# 1336381441, PAC ID# 1658679311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1336381441
PAC ID by PECOS 1658679311
Professional Enrollment ID I20160413000452
Full Name Frederick B Phillips
Organization Legal Name PROGRESSIVE LIFE INSTITUTE INC
Address 1933 Montana Ave Ne
Washington
DC 20002-1817
Phone Number 2028422016
Gender M
Graduation Year 1978
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 8628376415
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1933 Montana Ave Ne, Washington, DC 20002-1817 2028422016 PROGRESSIVE LIFE INSTITUTE INC

Organization Information

Organization Legal Name PROGRESSIVE LIFE INSTITUTE INC
Physicians 1

Office Location

Street Address 1933 MONTANA AVE NE
City WASHINGTON
State DC
Zip 20002-1817

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Competitor

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City WASHINGTON
Zip Code 20002
Specialty CLINICAL PSYCHOLOGIST
City + Specialty WASHINGTON + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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