Provider Demographics
NPI:1467444299
Name:MILLOS, ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:MILLOS
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 1:8TH STREET & GIRARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122
Mailing Address - Country:US
Mailing Address - Phone:215-787-2000
Mailing Address - Fax:215-787-2115
Practice Address - Street 1:8TH STREET & GIRARD AVENUE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122
Practice Address - Country:US
Practice Address - Phone:215-787-2000
Practice Address - Fax:215-787-2115
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0338132L207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0096553201OtherAMERICHOICE
PA08621OtherHEALTH PARTNERS
PA434605OtherHIGHMARK
PA1033985OtherKEYSTONE MERCY
PA0023028000OtherINDEPENDENCE BLUE CROSS
PA1033985OtherKEYSTONE MERCY
PA434605OtherHIGHMARK