Provider Demographics
NPI:1629626130
Name:MILFORD, DANIEL LOUIS
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LOUIS
Last Name:MILFORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 HOSFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:LEONARDO
Mailing Address - State:NJ
Mailing Address - Zip Code:07737
Mailing Address - Country:US
Mailing Address - Phone:732-720-9985
Mailing Address - Fax:
Practice Address - Street 1:56 HOSFORD AVENUE
Practice Address - Street 2:
Practice Address - City:LEONARDO
Practice Address - State:NJ
Practice Address - Zip Code:07737
Practice Address - Country:US
Practice Address - Phone:732-720-9985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider