Individual
TODD T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
4745 OGLETOWN STANTON RD, SUITE 225, NEWARK, DE 19713
(302) 731-2888
(302) 731-7049
Mailing address
4745 OGLETOWN STANTON RD, SUITE 225, NEWARK, DE 19713
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C50000239
DE
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001012201
—
DE
Enumeration date
01/18/2006
Last updated
04/28/2014
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