Individual
DR. PHILIP R. MILITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D18667
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154071800
—
MD
Enumeration date
06/11/2006
Last updated
03/21/2008
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