MEDICARE: MICHAEL E 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	207R00000X	Internal Medicine Physician	46024	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871547257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E MILLER M.D.

Provider Business Mailing Address
First Line	:	720 HARRISON AVE
Second Line	:	DOB 503
City	:	BOSTON
State	:	MA
Zip	:	02118-2371
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 BOYLSTON ST
Second Line	:	6TH FL
City	:	BOSTON
State	:	MA
Zip	:	02116-3607
Country	:	US
Telephone Number	:	617-414-9600
Fax Number	:	617-262-7015

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/11/2016

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Directions to “ MICHAEL E MILLER M.D.” Practice Location

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