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Organization
PHILLIP MILGRAM MD, INC
Active
Organization
PHILLIP MILGRAM MD, INC
Active
Other names
NAD Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MARK MILGRAM MD (OFFICER)
(844) 623-7587
Entity
Organization
Contact information
Practice address
4080 CENTRE ST, SUITE 105, SAN DIEGO, CA 92103-2655
(844) 623-7587
Mailing address
4080 CENTRE ST, SUITE 105, SAN DIEGO, CA 92103-2655
(844) 623-7587
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
A35411
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A35411
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A35411
CA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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