Individual
JOHN JOSEPH MILLILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Mailing address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04424200
NJ
208600000X
Surgery Physician
MD024812E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011963240003
—
PA
01
—
0075290000
AMERIHEALTH
NJ
01
—
0456585000
AMERIHEALTH
PA
05
—
2356805
—
NJ
Enumeration date
07/21/2006
Last updated
07/08/2007
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