Healthcare Provider Details

I. General information

NPI: 1053304469
Provider Name (Legal Business Name): LINSEY PHILIP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PLEASANT ST SUITE 306
FALL RIVER MA
02721-3005
US

IV. Provider business mailing address

277 PLEASANT ST SUITE 306
FALL RIVER MA
02721-3005
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-3232
  • Fax: 508-675-4942
Mailing address:
  • Phone: 508-675-3232
  • Fax: 508-675-4942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number80462
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: