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NPI Code Detail

MEDICARE: MARIA FATIMA MILITANTE-MILLER DO

MEDICARE: MARIA FATIMA MILITANTE-MILLER DO
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
1207R00000XInternal Medicine Physician20A10012CA
2208M00000XHospitalist Physician20A10012CA

General Provider Information

NPI Number : 1649455577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA FATIMA MILITANTE-MILLER DO
Provider Business Mailing Address
First Line : 350 HAWTHORNE AVE STE 2346
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3108
Country : US
Telephone Number : 510-869-6883
Fax Number : 510-869-6888
Provider Business Practice Location Address
First Line : 350 HAWTHORNE AVE
Second Line : SUITE 2316
City : OAKLAND
State : CA
Zip : 94609-3108
Country : US
Telephone Number : 510-869-8670
Fax Number : 510-869-6888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 07/18/2017

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