Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 8012 | NH |
Y | 111NI0900X | Internist | 8012 | NH |
NPI | 1003094590 |
---|---|
Provider Name | Robert Millstein |
First Address | Portsmouth, NH 03801-5892 |
Second Address | Portsmouth, NH 03801-5892 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 06/02/2008 |