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General NPI Number Information
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NPI Number | 1265603567
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Entity Type | Organization
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Legal Business Name | MICHAEL C MILANO MD LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 825 BLOOMFIELD AVE
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City | VERONA
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State | NJ
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Zip | 07044-1366
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Country | US
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Telephone | 973-239-5010
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Fax | 973-669-0277
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Provider Business Mailing Address
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Address Line | 825 BLOOMFIELD AVE
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City | VERONA
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State | NJ
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Zip | 07044-1366
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Country | US
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Telephone | 973-239-5010
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Fax | 973-669-0277
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ALICE M RUIZ
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Credential |
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Telephone | 973-731-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MA03634900
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License Number State | NJ
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