Organization
PHILLIP MILGRAM MD, INC
Active
Other names
NAD Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MARK MILGRAM MD (OFFICER)
(844) 623-7587
Entity
Organization
Contact information
Practice address
4080 CENTRE ST, SUITE 105, SAN DIEGO, CA 92103-2655
(844) 623-7587
Mailing address
4080 CENTRE ST, SUITE 105, SAN DIEGO, CA 92103-2655
(844) 623-7587
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
A35411
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A35411
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A35411
CA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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