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Individual

CORINA M MILLO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19650 CLUB HOUSE RD, SUITE 201, MONTGOMRY VILLAGE, MD 20886-3039
(301) 948-5700
(240) 683-3612
Mailing address
19650 CLUB HOUSE RD, SUITE 201, MONTGOMRY VILLAGE, MD 20886-3039
(301) 948-5700
(240) 683-3612

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
D0063404
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MD
Enumeration date
01/30/2006
Last updated
07/08/2007
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