Provider Demographics
NPI:1477679785
Name:MILLENIUM MANAGEMENT INC
Entity Type:Organization
Organization Name:MILLENIUM MANAGEMENT INC
Other - Org Name:ROXBURY PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-442-3400
Mailing Address - Street 1:376 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1830
Mailing Address - Country:US
Mailing Address - Phone:617-442-3400
Mailing Address - Fax:
Practice Address - Street 1:376 WARREN ST
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1830
Practice Address - Country:US
Practice Address - Phone:617-442-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy