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NPI Code Detail

MEDICARE: WAYNE MILLER D.O.

MEDICARE:   WAYNE  MILLER  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS005935LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033119870
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAYNE MILLER D.O.
Provider Business Mailing Address
First Line : 1033 W GERMANTOWN PIKE
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3905
Country : US
Telephone Number : 610-539-8500
Fax Number : 610-539-0910
Provider Business Practice Location Address
First Line : 2601 HOLME AVE FL 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 215-335-6028
Fax Number : 267-350-7441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 10/23/2022

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