# DR. EDITA P. MILAN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831419498
- **Authorized official:** DR. EDITA P MILAN MD (OWNER)
- **Authorized official phone:** (304) 848-2403

## Contact information

- **Practice address:** 153 W MAIN ST, BRIDGEPORT, WV 26330-1714
- **Practice address phone:** (304) 848-2403
- **Mailing address:** 153 W MAIN ST, BRIDGEPORT, WV 26330-1714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010