Healthcare Provider Details

I. General information

NPI: 1245249549
Provider Name (Legal Business Name): MILL HILL MEDICAL CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

77 LAFAYETTE PL SUITE 302
GREENWICH CT
06830-5426
US

IV. Provider business mailing address

77 LAFAYETTE PL SUITE 302
GREENWICH CT
06830-5426
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-4250
  • Fax: 203-863-4249
Mailing address:
  • Phone: 203-863-4250
  • Fax: 203-863-4249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number StateCT

VIII. Authorized Official

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