MEDICARE: ALBERTO MILLOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	MD0338132L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0096553201	OTHER	PA	AMERICHOICE
2	08621	OTHER	PA	HEALTH PARTNERS
3	434605	OTHER	PA	HIGHMARK
4	1033985	OTHER	PA	KEYSTONE MERCY
5	0023028000	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1467444299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO MILLOS MD

Provider Business Mailing Address
First Line	:	8TH STREET & GIRARD AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122
Country	:	US
Telephone Number	:	215-787-2000
Fax Number	:	215-787-2115

Provider Business Practice Location Address
First Line	:	8TH STREET & GIRARD AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122
Country	:	US
Telephone Number	:	215-787-2000
Fax Number	:	215-787-2115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	09/26/2007

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Directions to “ ALBERTO MILLOS MD” Practice Location

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