Individual
ROBERT MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8012 FRANKFORD AVE, PHILADELPHIA, PA 19136-2616
(215) 624-1758
(215) 624-3153
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD011831E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011828010012
—
PA
Enumeration date
03/31/2006
Last updated
10/10/2014
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