Provider Demographics
NPI:1487696282
Name:MILLMAN, ERIC S (M D)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:S
Last Name:MILLMAN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:64 TRUMBULL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-1028
Mailing Address - Country:US
Mailing Address - Phone:203-865-1390
Mailing Address - Fax:203-432-8458
Practice Address - Street 1:64 TRUMBULL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-1028
Practice Address - Country:US
Practice Address - Phone:203-865-1390
Practice Address - Fax:203-432-8458
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0194032084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry