MEDICARE: ANDREW DAVID MILLER M.D.

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
1	2083P0901X	Public Health & General Preventive Medicine Physician	25MA03829200	NJ

General Provider Information

NPI Number	:	1134388705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW DAVID MILLER M.D.

Provider Business Mailing Address
First Line	:	8 LANCASHIRE DR
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1210
Country	:	US
Telephone Number	:	609-799-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 QUAKERBRIDGE PLZ
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08619-1241
Country	:	US
Telephone Number	:	609-799-5477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2008
Last Update Date	:	11/07/2023

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