Healthcare Provider Details

I. General information

NPI: 1013946995
Provider Name (Legal Business Name): HAROLD J. MILSTEIN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 JAMESTOWN ST SUITE 206
PHILADELPHIA PA
19128-1751
US

IV. Provider business mailing address

525 JAMESTOWN ST SUITE 206
PHILADELPHIA PA
19128-1751
US

V. Phone/Fax

Practice location:
  • Phone: 215-483-3666
  • Fax: 215-483-4207
Mailing address:
  • Phone: 215-483-3666
  • Fax: 215-483-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD020207E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberOS008600L
License Number StatePA

VIII. Authorized Official

Name: HAROLD J MILSTEIN
Title or Position: OWNER
Credential: M.D.
Phone: 215-483-3666