Healthcare Provider Details

I. General information

NPI: 1346402922
Provider Name (Legal Business Name): ERIN COLEEN MILLIGAN-MILBURN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN COLEEN MILLIGAN M.D.

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N HADDON AVE
HADDONFIELD NJ
08033-2323
US

IV. Provider business mailing address

401 ROUTE 73 N STE 320
MARLTON NJ
08053-3426
US

V. Phone/Fax

Practice location:
  • Phone: 856-429-6719
  • Fax:
Mailing address:
  • Phone: 856-334-6293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT193595
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: