Individual
MARIE MILTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 BALL POND RD, NEW FAIRFIELD, CT 06812-4539
(973) 975-9831
Mailing address
160 BALL POND RD, NEW FAIRFIELD, CT 06812-4539
(973) 975-9831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22316372
NY
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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