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NPI Code Detail

MEDICARE: DR. GEORGE WALTER MILLER JR. M.D.

MEDICARE:  DR. GEORGE WALTER MILLER JR. 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 Physician25MA03913700NJ

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 : 1316942618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE WALTER MILLER JR. M.D.
Provider Business Mailing Address
First Line : 33 MOUNTAINSIDE DR
Second Line :
City : WAYNE
State : NJ
Zip : 07470-4208
Country : US
Telephone Number : 973-628-0427
Fax Number : 973-872-0096
Provider Business Practice Location Address
First Line : 799 BLOOMFIELD AVE STE 201
Second Line :
City : VERONA
State : NJ
Zip : 07044-1301
Country : US
Telephone Number : 973-746-7050
Fax Number : 973-857-2831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 12/11/2012

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Directions to “ DR. GEORGE WALTER MILLER JR. M.D.” Practice Location

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