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NPI Code Detail

MEDICARE: THOMAS J MILLER M.D.

MEDICARE: THOMAS 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
1207Q00000XFamily Medicine PhysicianMD019019EPA

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 : 1770577850
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS J MILLER M.D.
Provider Business Mailing Address
First Line : PO BOX 606
Second Line :
City : HATBORO
State : PA
Zip : 19040-0606
Country : US
Telephone Number : 215-675-1516
Fax Number : 215-675-0901
Provider Business Practice Location Address
First Line : 345 N YORK RD
Second Line :
City : HATBORO
State : PA
Zip : 19040-2045
Country : US
Telephone Number : 215-675-1516
Fax Number : 215-675-0901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 07/08/2007

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