Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 25MA02753700 | NJ |
NPI | 1033353255 |
---|---|
Provider Name | Richard Milsten |
First Address | Orchid, FL 32963-9521 |
Second Address | Orchid, FL 32963-9521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |