Healthcare Provider Details

I. General information

NPI: 1558456392
Provider Name (Legal Business Name): AUBREY MILUNSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ALBANY STREET 4TH FLOOR SUITE 408 CENTER FOR HUMAN GENETICS
BOSTON MA
02118-2526
US

IV. Provider business mailing address

700 ALBANY STREET 4TH FLOOR SUITE 408 CENTER FOR HUMAN GENETICS
BOSTON MA
02118-2526
US

V. Phone/Fax

Practice location:
  • Phone: 516-638-7083
  • Fax: 617-638-7092
Mailing address:
  • Phone: 516-638-7083
  • Fax: 617-638-7092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number30222
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: