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Individual
DR. MARTIN G MILLER
Active
Individual
DR. MARTIN G MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003272
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057760
GHI PROVIDER ID #
NY
05
—
00657525
—
NY
01
—
0880916
AETNA USHC PROVIDER ID #
NY
01
—
21214
VYTRA PROVIDER ID #
NY
01
—
4103190001
MEDICARE DMERC NSC #
NY
01
—
4405430
OXFORD PROVIDER ID #
NY
01
—
A08008182
DMERC SUBMITTER ID #
NY
Enumeration date
06/10/2005
Last updated
03/28/2008
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