Provider Demographics
NPI:1508025131
Name:MILFORT, MARGARET (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:MILFORT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3505
Mailing Address - Country:US
Mailing Address - Phone:732-583-5518
Mailing Address - Fax:
Practice Address - Street 1:16 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3505
Practice Address - Country:US
Practice Address - Phone:732-583-5518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09500300363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner