Provider Demographics
NPI:1295097251
Name:MILDER, ELINOR M (MD)
Entity type:Individual
Prefix:
First Name:ELINOR
Middle Name:M
Last Name:MILDER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:137 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155
Mailing Address - Country:US
Mailing Address - Phone:781-395-4761
Mailing Address - Fax:781-395-5081
Practice Address - Street 1:137 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155
Practice Address - Country:US
Practice Address - Phone:781-395-4761
Practice Address - Fax:781-395-5081
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2020-02-14
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Provider Licenses
StateLicense IDTaxonomies
MA264841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine