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NPI Code Detail

MEDICARE: VIRGINIA J. MILLAR D.P.T.

MEDICARE: VIRGINIA J. MILLAR D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician40QA00517200NJ
2225100000XPhysical Therapist40QA00517200NJ

General Provider Information

NPI Number : 1003856055
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA J. MILLAR D.P.T.
Provider Business Mailing Address
First Line : 10 NADINE BLVD
Second Line :
City : OCEAN VIEW
State : NJ
Zip : 08230-1709
Country : US
Telephone Number : 609-846-4968
Fax Number : 609-478-2082
Provider Business Practice Location Address
First Line : 215 N MAIN ST
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2192
Country : US
Telephone Number : 609-536-4995
Fax Number : 609-478-2082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 12/12/2022

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