Individual
MICHAEL S NILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 N MAIN ST STE 205, CAPE MAY COURT HOUSE, NJ 08210-2104
(609) 463-5440
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08101400
NJ
207RC0000X
Cardiovascular Disease Physician
MD434384
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108758
—
NJ
Enumeration date
08/12/2006
Last updated
05/08/2024
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