Provider Demographics
NPI:1275586737
Name:MILETO, VINCENT F (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:F
Last Name:MILETO
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 1:215 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3063
Mailing Address - Country:US
Mailing Address - Phone:908-722-2900
Mailing Address - Fax:908-722-1856
Practice Address - Street 1:215 UNION AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3063
Practice Address - Country:US
Practice Address - Phone:908-722-2900
Practice Address - Fax:908-722-1856
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA3586900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD027143OtherSTATE CONTROLLED DRUG SUB
NJ25MA03586900OtherNJ STATE LICENSE
NJ0845001Medicaid
NJ0845001Medicaid
NJD027143OtherSTATE CONTROLLED DRUG SUB
NJ25MA03586900OtherNJ STATE LICENSE