Individual
MR. MICHAEL EDWARD LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 HOGBIN RD, MILLVILLE, NJ 08332-5228
(856) 265-8772
(856) 506-8647
Mailing address
528 HOGBIN RD, MILLVILLE, NJ 08332-5228
(856) 265-8772
(856) 506-8647
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
634660
NJ
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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