Organization
JACK R. MILLIGAN M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MILLIGAN M.D. (OWNER)
(302) 735-7730
Entity
Organization
Contact information
Practice address
766 S STATE ST, DOVER, DE 19901-4146
(302) 735-7730
(302) 735-4911
Mailing address
766 S STATE ST, DOVER, DE 19901-4146
(302) 735-7730
(302) 735-4911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10005866
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001019401
—
DE
Enumeration date
07/13/2006
Last updated
08/22/2020
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