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
Fax: (617) 421-1359
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902820756 NPPES
Massachusetts MEDICAID 110075732A

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