Individual
MICHAEL M MILLENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2500
(215) 728-3639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD034861E
PA
207RX0202X
Medical Oncology Physician
Primary
MD034861E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014425440002
—
PA
Enumeration date
07/21/2006
Last updated
04/09/2018
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