Healthcare Provider Details
I. General information
NPI: 1437116134
Provider Name (Legal Business Name): MICHNER & MILIO, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2006
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
214 N MAIN ST
CAPE MAY COURT HOUSE NJ
08210-2122
US
IV. Provider business mailing address
214 N MAIN ST
CAPE MAY COURT HOUSE NJ
08210-2122
US
V. Phone/Fax
- Phone: 609-465-2828
- Fax: 609-465-8617
- Phone: 609-465-2828
- Fax: 609-465-8617
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
A
MICHNER
Title or Position: OWNER
Credential: MD
Phone: 609-465-2828