Provider Demographics
NPI:1396755245
Name:MILL HILL MEDICAL CONSULTANTS INC
Entity type:Organization
Organization Name:MILL HILL MEDICAL CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-384-3717
Mailing Address - Street 1:55 HOLLY HILL LN
Mailing Address - Street 2:SUITE 240
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6074
Mailing Address - Country:US
Mailing Address - Phone:203-863-4210
Mailing Address - Fax:203-622-1872
Practice Address - Street 1:55 HOLLY HILL LN
Practice Address - Street 2:SUITE 240
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6074
Practice Address - Country:US
Practice Address - Phone:203-863-4210
Practice Address - Fax:203-622-1872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOVASCULAR SERVICES OF GREENWICH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC03159OtherMEDICARE GROUP NUMBER