Provider Demographics
NPI:1801657937
Name:MILHET-PAGAN, JOSUE ANTONIO
Entity type:Individual
Prefix:
First Name:JOSUE
Middle Name:ANTONIO
Last Name:MILHET-PAGAN
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 1:89 OVERLOOK AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-2705
Mailing Address - Country:US
Mailing Address - Phone:813-517-5704
Mailing Address - Fax:
Practice Address - Street 1:240 WILLIAMSON ST STE 300
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3672
Practice Address - Country:US
Practice Address - Phone:908-350-4444
Practice Address - Fax:908-360-0490
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14985500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily