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Individual

MR. S DAVID MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
49 STATE RD, WATUPPA BUILDING SUITE 203, NORTH DARTMOUTH, MA 02747-3300
(508) 994-0120
(508) 996-9636
Mailing address
49 STATE RD, WATUPPA BUILDING SUITE 203, NORTH DARTMOUTH, MA 02747-3300
(508) 994-0120
(508) 996-9636

Taxonomy

Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
74380
MA
207K00000X
Allergy & Immunology Physician
Primary
74380
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3078299
MA
Enumeration date
03/18/2006
Last updated
06/05/2013
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