Doctor Name: | DR. VINCENT MILAZZO |
NPI Number: | 1144292749 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA049087 |
Business Practice Address: | 425 Jack Martin Boulevard Second Floor Brick, NJ - 08724 |
Business Phone Number: | 7322021500 |
Business Fax Number: | 7322021058 |
Mailing Address: | 425 Jack Martin Boulevard, Second Floor BRICK |
State: | NJ |
Postal Code: | 08724 |
Phone Number: | 7322021500 |
Fax Number: | 7322021058 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 10/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA049087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |