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ANTHONY P MILICIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 N BROAD ST, 7TH FLOOR OUT PATIENT BUILDING, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3008
(215) 707-1387

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M2025288E
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD025289E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001605953
PA
01
0053032000
INDEPENDENCE BLUE CROSS
PA
01
1569008
AETNA HMO
PA
01
30039504
KEYSTONE MERCY HEALTH
PA
01
4328709
AETNA PPO
PA
01
467042
HIGHMARK BLUE SHIELD
PA
01
4882
BRAVO HEALTH
PA
01
P00360697
RAILROAD MEDICARE
PA
Enumeration date
07/31/2006
Last updated
03/21/2017
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