Basic Information
Provider Information
NPI: 1033112123
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILKOWSKI
FirstName: DEBORAH
MiddleName: A.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12248
Address2:  
City: NEW BERN
State: NC
PostalCode: 285612248
CountryCode: US
TelephoneNumber: 2526331678
FaxNumber: 2526339443
Practice Location
Address1: 702 NEWMAN RD
Address2:  
City: NEW BERN
State: NC
PostalCode: 285625238
CountryCode: US
TelephoneNumber: 2526331678
FaxNumber: 2526339443
Other Information
ProviderEnumerationDate: 05/23/2005
LastUpdateDate: 12/01/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate: 03/17/2006
NPIReactivationDate: 04/03/2006
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X2009-01201NCY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RS0012X2009-01201NCN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RC0200X2009-01201NCN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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