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NPI Code Detail

MEDICARE: DR. ANDREW J MILLER M.D.

MEDICARE:  DR. ANDREW J 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
1207R00000XInternal Medicine Physician47286MA

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 : 1215910724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW J MILLER M.D.
Provider Business Mailing Address
First Line : PO BOX 415348
Second Line :
City : BOSTON
State : MA
Zip : 02241-5348
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15 WEST ST
Second Line :
City : EAST DOUGLAS
State : MA
Zip : 01516-2160
Country : US
Telephone Number : 508-476-3291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 10/28/2020

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Directions to “ DR. ANDREW J MILLER M.D.” Practice Location

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