Individual provider · NPI-1

Dr. Philip A. Anderson, M.D.

Internal Medicine · South Euclid, OH

NPI number1700828738
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1700828738
Entity type
Individual (NPI-1)
Name
Dr. Philip A. Anderson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35046859AOHYes

Practice location

1611 S Green Rd
Suite 260
South Euclid, OH 44121-4128

Phone 216-291-1650 · Fax 216-297-2119

Mailing address

1611 S Green Rd
Suite 260
South Euclid, OH 44121-4128

Phone 216-291-1650 · Fax 216-297-2119

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