Healthcare Provider Details

I. General information

NPI: 1144230954
Provider Name (Legal Business Name): MILL HILL MEDICAL CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PERRYRIDGE RD
GREENWICH CT
06830-4608
US

IV. Provider business mailing address

5 PERRYRIDGE RD
GREENWICH CT
06830-4608
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-3448
  • Fax: 203-863-4476
Mailing address:
  • Phone: 203-863-3448
  • Fax: 203-863-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE MCDONALD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 203-384-3717