Individual
DR. DAVID MICAH MILGRAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2169
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2169
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101282757
VA
207N00000X
Dermatology Physician
25MA11539300
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
25MA11539300
NJ
207NP0225X
Pediatric Dermatology Physician
MT224939
PA
207NS0135X
Procedural Dermatology Physician
25MA11539300
NJ
Other
Enumeration date
03/28/2017
Last updated
08/23/2024
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