Individual
DR. MARISSA ANNE MILCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1516 LOCUST ST, PHILADELPHIA, PA 19102-4409
(215) 545-5458
Mailing address
569 W LANCASTER AVE, HAVERFORD, PA 19041-1416
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD471683
PA
Other
Enumeration date
04/08/2016
Last updated
09/08/2020
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