Miller, Randall W.

Miller, Randall W. is an sole proprietor health care provider with primary practice located at 1170 Clifton Ave , Clifton NJ 07013-3622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Randall W. can be contacted via phone (973) 472-0220.

Contact Information

Primary practice address
1170 Clifton Ave Clifton NJ 07013-3622
Phone: (973) 472-0220
Fax: (973) 779-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35137 New Jersey

Profile Details

NPI number 1740342575
LBN Legal business name Miller, Randall W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Apr 3rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740342575 NPPES
New Jersey Other 0675510001 DMERC
New Jersey MEDICAID 3304507 DMERC
New Jersey Other 0675510001 DMERC

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