Provider Demographics
NPI:1033353255
Name:MILSTEN, RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:MILSTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 WHITE PELICAN CIR
Mailing Address - Street 2:ORCHID ISLAND
Mailing Address - City:ORCHID
Mailing Address - State:FL
Mailing Address - Zip Code:32963-9521
Mailing Address - Country:US
Mailing Address - Phone:772-388-8802
Mailing Address - Fax:
Practice Address - Street 1:545 WHITE PELICAN CIR
Practice Address - Street 2:ORCHID ISLAND
Practice Address - City:ORCHID
Practice Address - State:FL
Practice Address - Zip Code:32963-9521
Practice Address - Country:US
Practice Address - Phone:772-388-8802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02753700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology