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Individual

DAVID M MILLILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-3113
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD002113
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0352328000
AMERIHEALTH/KEYSTONE/IBC
NJ
05
5448301
NJ
01
MD00211300
STATE LICENSE
NJ
Enumeration date
10/24/2006
Last updated
04/15/2019
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