Provider Demographics
NPI:1598995920
Name:MILLBURN OB-GYN ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:MILLBURN OB-GYN ASSOCIATES, P.A.
Other - Org Name:ASSOCIATES IN FEMALE HEALTH CARE P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-467-9440
Mailing Address - Street 1:233 MILLBURN AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1718
Mailing Address - Country:US
Mailing Address - Phone:973-467-9440
Mailing Address - Fax:973-376-1680
Practice Address - Street 1:233 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1718
Practice Address - Country:US
Practice Address - Phone:973-467-9440
Practice Address - Fax:973-376-1680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 33579207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty