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NPI Code Detail

MEDICARE: DR. GERALD MILEY MD

MEDICARE:  DR. GERALD  MILEY  MD
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
1207RR0500XRheumatology Physician37761MA

General Provider Information

NPI Number : 1255385803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD MILEY MD
Provider Business Mailing Address
First Line : 125 PARKER HILL AVE
Second Line :
City : BOSTON
State : MA
Zip : 02120-2847
Country : US
Telephone Number : 617-754-5900
Fax Number :
Provider Business Practice Location Address
First Line : 125 PARKER HILL AVE
Second Line :
City : BOSTON
State : MA
Zip : 02120-2847
Country : US
Telephone Number : 617-738-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 02/10/2020

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Directions to “ DR. GERALD MILEY MD” Practice Location

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