Healthcare Provider Details

I. General information

NPI: 1689885816
Provider Name (Legal Business Name): SEAN MCMILLAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2007
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON NJ
08016-4157
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 609-747-9200
  • Fax: 609-747-1408
Mailing address:
  • Phone: 856-355-0340
  • Fax: 856-355-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number25MB08970000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: