Provider Demographics
NPI:1437412798
Name:MILESTONE MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:MILESTONE MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:U
Authorized Official - Last Name:BASSEY-AKAMUNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-408-1885
Mailing Address - Street 1:7676 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7512
Mailing Address - Country:US
Mailing Address - Phone:301-408-1885
Mailing Address - Fax:301-408-1828
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7512
Practice Address - Country:US
Practice Address - Phone:301-408-1885
Practice Address - Fax:301-408-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MDD0051667261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251E00000XAgenciesHome Health