Provider Demographics
NPI:1437116134
Name:MICHNER & MILIO, PA
Entity Type:Organization
Organization Name:MICHNER & MILIO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-465-2828
Mailing Address - Street 1:214 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2122
Mailing Address - Country:US
Mailing Address - Phone:609-465-2828
Mailing Address - Fax:609-465-8617
Practice Address - Street 1:214 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2122
Practice Address - Country:US
Practice Address - Phone:609-465-2828
Practice Address - Fax:609-465-8617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3242102Medicaid
NJCC3278OtherRAILROAD MEDICARE
NJ085505Medicare PIN