Provider Demographics
NPI:1851317572
Name:MILROD, LEWIS MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:MARTIN
Last Name:MILROD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:80 STATE ROUTE 27
Mailing Address - Street 2:REAR SUITE
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3958
Mailing Address - Country:US
Mailing Address - Phone:732-548-2724
Mailing Address - Fax:732-623-9721
Practice Address - Street 1:80 STATE ROUTE 27
Practice Address - Street 2:REAR SUITE
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3958
Practice Address - Country:US
Practice Address - Phone:732-548-2724
Practice Address - Fax:732-623-9721
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA604492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE15234Medicare UPIN