| NPI | 1679865604 |
|---|---|
| Doing Business As | MILLENNIUM MEDICAL GROUP, PC |
| Entity Type | Organization |
| Authorized Contact | ALEXANDR ZAITSEV Owner 973-574-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA07388400) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2016-07-12 |