Healthcare Provider Details

I. General information

NPI: 1093768939
Provider Name (Legal Business Name): MILAN KUMAR SEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MOUNT PROSPECT AVE SUITE 104
CLIFTON NJ
07013-1900
US

IV. Provider business mailing address

10 BARCLAY ST APT 20B
NEW YORK NY
10007-2712
US

V. Phone/Fax

Practice location:
  • Phone: 973-330-9200
  • Fax: 973-365-2333
Mailing address:
  • Phone: 212-203-1728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberN1444
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA92040
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberFTL 41988
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number272266
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number272266
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number25MA09399400
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number25MA09399400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: