Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 25MA10217600 | NJ |
NPI | 1609037985 |
---|---|
Provider Name | Dr. Christopher A Milburn |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103-1438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 16/01/2018 |