Organization
GREGORY D MILLS DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY D MILLS (OWNER)
(856) 751-3313
Entity
Organization
Contact information
Practice address
1930 ROUTE 70 E STE L60, THE EXECUTIVE MEWS, CHERRY HILL, NJ 08003-4201
(856) 751-3313
(856) 751-8370
Mailing address
1930 ROUTE 70 E STE L60, THE EXECUTIVE MEWS, CHERRY HILL, NJ 08003-4201
(856) 751-3313
(856) 751-8370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD16968
NJ
332BC3200X
Customized Equipment (DME)
MD1968
NJ
335E00000X
Prosthetic/Orthotic Supplier
MD1968
NJ
Other
Enumeration date
01/14/2008
Last updated
09/27/2010
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