Individual
MARVIN A MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQUARE EAST, BIMC DEPT OF SURGERY, NEW YORK, NY 10003
(212) 844-1795
Mailing address
PO BOX 95000, PHILADELPHIA, PA 19195-2424
(212) 844-1795
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
129847
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914612
—
NY
Enumeration date
12/27/2005
Last updated
01/05/2012
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