Miller, Fred
Miller, Fred is an sole proprietor health care provider with primary practice located at 363 Park St , Upper Montclair NJ 07043-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Miller, Fred can be contacted via phone (973) 783-1550.Contact Information
Primary practice address
363 Park St
Upper Montclair NJ 07043-2237
Phone: (973) 783-1550
Fax: (973) 783-1468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA03952700 | New Jersey |
Profile Details
| NPI number | 1811930373 |
|---|---|
| LBN Legal business name | Miller, Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811930373 | NPPES |
| New Jersey | MEDICAID | 3129900 |
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