Individual
BENJAMIN T MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-2113
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-2113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237880
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058563
RI MEDICARE
RI
01
—
1104867233
NPI
RI
01
—
2122871
MA MEDICAID
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
06/09/2006
Last updated
11/21/2011
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