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Individual

DR. GORAN MILJKOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3241 MAIN ST, SUITE B, STRATFORD, CT 06614-4850
(203) 383-4466
(203) 383-4499
Mailing address
3241 MAIN ST, SUITE B, STRATFORD, CT 06614-4850
(203) 383-4466
(203) 383-4499

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
039614
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001396143
CHN
CT
05
001396143
CT
01
001396143-00
BLUECARE FAMILY PLAN
CT
01
010039614CT03
BLUE CROSS
CT
01
061608343
UNITED HEALTHCARE
CT
01
069614
CT CARE
CT
01
110243501
RAILROAD MEDICARE
CT
01
198599/241469
WELLCARE
CT
01
2807118/2843349
AETNA
CT
01
2V0848
HEALTHNET
CT
01
P2522396
OXFORD
CT
Enumeration date
02/01/2006
Last updated
02/05/2013
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