Miljkovic, Goran

Miljkovic, Goran is an sole proprietor health care provider with primary practice located at 3241 Main St Suite B, Stratford CT 06614-4850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Miljkovic, Goran can be contacted via phone (203) 383-4466.

Contact Information

Primary practice address
3241 Main St Suite B Stratford CT 06614-4850
Phone: (203) 383-4466
Fax: (203) 383-4499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 039614 Connecticut

Profile Details

NPI number 1053382416
LBN Legal business name Miljkovic, Goran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Feb 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053382416 NPPES
Connecticut MEDICAID 001396143
Connecticut Other 001396143-00
Connecticut Other 010039614CT03
Connecticut Other 198599/241469
Connecticut Other 2V0848
Connecticut Other 001396143
Connecticut Other 069614
Connecticut Other 110243501
Connecticut Other 061608343
Connecticut Other P2522396
Connecticut Other 001396143
Connecticut Other 2807118/2843349

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