Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 2275 | DC |
Y | 1223E0200X | Endodontist | 3804 | MD |
NPI | 1073513115 |
---|---|
Provider Name | Dr. Stanley A Milobsky |
First Address | Potomac, MD 20854-2858 |
Second Address | Chevy Chase, MD 20815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 08/07/2007 |