Individual
JOHN MILICI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 HIGH ST, NUTLEY, NJ 07110-1430
(973) 900-3249
Mailing address
229 HIGH ST, NUTLEY, NJ 07110-1430
(973) 900-3249
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00645900
NJ
Other
Enumeration date
12/19/2019
Last updated
11/14/2022
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