Healthcare Provider Details

I. General information

NPI: 1548229461
Provider Name (Legal Business Name): NAOMI H MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MADISON AVE SUITE 405
MORRISTOWN NJ
07960-7357
US

IV. Provider business mailing address

6 COTTONWOOD RD
MORRISTOWN NJ
07960-5957
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-7272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number25MA05508000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: