Provider Demographics
NPI:1205022746
Name:MILOV, SEVA (MD)
Entity Type:Individual
Prefix:
First Name:SEVA
Middle Name:
Last Name:MILOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VSEVOLOD
Other - Middle Name:
Other - Last Name:MILOV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2500 ENGLISH CREEK AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5549
Mailing Address - Country:US
Mailing Address - Phone:609-677-7211
Mailing Address - Fax:609-677-7210
Practice Address - Street 1:2500 ENGLISH CREEK AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-677-7211
Practice Address - Fax:609-677-7210
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08172100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117077SBVMedicare PIN
NJ117077CN9Medicare PIN