Individual provider · Type 1 NPI
John Milici Jr.
Surgical Physician Assistant · Nutley, NJ
NPI number
1356989495
Active
Practice location
229 High St
Nutley, NJ 07110-1430
Other practice locations
- 201 State Rt 17 Fl 11, Rutherford, NJ 07070-2557 · (732) 390-7750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 25MP00645900 (NJ) |
Surgical Physician Assistant: Definition to come...
About NPI 1356989495
John Milici Jr.'s National Provider Identifier is 1356989495, issued on Dec 19, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Nutley, NJ. The record was last updated on Nov 14, 2022.