MEDICARE: DR. RICHARD 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
1	207VM0101X	Maternal & Fetal Medicine Physician	25MA06255800	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	160059359	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	576E51	OTHER	NJ	EMPIRE BC/BS OF NY
2	P379087	OTHER	NJ	OXFORD ID #
4	0469347000	OTHER	NJ	AMERIHEALTH
5	2K2132	OTHER	NJ	HEALTHNET ID #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548262819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MILLER M.D.

Provider Business Mailing Address
First Line	:	94 OLD SHORT HILLS RD
Second Line	:	EAST WING, SUITE 402
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5672
Country	:	US
Telephone Number	:	973-322-5287
Fax Number	:	973-322-2309

Provider Business Practice Location Address
First Line	:	94 OLD SHORT HILLS RD
Second Line	:	EAST WING, SUITE 402
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5672
Country	:	US
Telephone Number	:	973-322-5287
Fax Number	:	973-322-2309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/13/2015

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Directions to “ DR. RICHARD MILLER M.D.” Practice Location

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