Miller, Gregg Adam
Miller, Gregg Adam is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Miller, Gregg Adam can be contacted via phone (617) 421-1336.Contact Information
Primary practice address
133 Brookline Ave
Boston MA 02215-3904
Phone: (617) 421-1336
Fax: (617) 421-1359
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 226407 | Massachusetts |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 226407 | Massachusetts |
Profile Details
NPI number | 1902820756 |
---|---|
LBN Legal business name | Miller, Gregg Adam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Jan 12th, 2024 - about last year |
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 | 1902820756 | NPPES |
Massachusetts | MEDICAID | 110075732A |
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