Individual
BRADD R MILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 815-7532
Mailing address
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-3005
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA08575500
NJ
2085N0700X
Neuroradiology Physician
MD431189
PA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08575500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157694
—
NJ
01
—
155927USF
NJ MEDICARE
NJ
01
—
P00734660
RR MEDICARE
NJ
Enumeration date
07/25/2007
Last updated
04/10/2018
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