Individual
ERIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
513 JESSUP ST, DUNMORE, PA 18512-2103
(570) 498-2292
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
017958-1
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00575000
NJ
Other
Enumeration date
09/22/2014
Last updated
02/04/2021
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