Individual
ELLEN BLOCK MILSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2416 WHITNEY AVE, HAMDEN, CT 06518-3248
(203) 288-1142
(203) 288-5086
Mailing address
2416 WHITNEY AVE, HAMDEN, CT 06518-3248
(203) 288-1142
(203) 288-5086
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
017267
CT
207ND0900X
Dermatopathology Physician
017267
CT
207NP0225X
Pediatric Dermatology Physician
017267
CT
207NS0135X
Procedural Dermatology Physician
Primary
017267
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017267CT03
ANTHEM BLUE CROSS
CT
01
—
750372
CONNECTICARE
CT
Enumeration date
06/28/2005
Last updated
09/11/2025
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