Provider Demographics
NPI:1285978403
Name:MILDIN INC
Entity type:Organization
Organization Name:MILDIN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-245-0400
Mailing Address - Street 1:156 CUMBERLAND PKWY
Mailing Address - Street 2:200
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6694
Mailing Address - Country:US
Mailing Address - Phone:717-697-6600
Mailing Address - Fax:717-697-6700
Practice Address - Street 1:156 CUMBERLAND PKWY
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6694
Practice Address - Country:US
Practice Address - Phone:717-697-6600
Practice Address - Fax:717-697-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier