Provider Demographics
NPI:1326362203
Name:MILSTEIN, MATTHEW EVAN (PA-C)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:EVAN
Last Name:MILSTEIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:422 S CAMELBACK DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9655
Mailing Address - Country:US
Mailing Address - Phone:609-204-5850
Mailing Address - Fax:
Practice Address - Street 1:PSC 475 BOX 1668
Practice Address - Street 2:BOX 1668
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96350-1668
Practice Address - Country:US
Practice Address - Phone:011-814-6896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant