Organization
AMERICAN ACCESS CARE OF PENNSYLVANIA LLC
Active
Other names
Azura Vascular Care Northeast Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG A MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
7959 BUSTLETON AVE, PHILADELPHIA, PA 19152-3320
(215) 742-5662
(215) 742-5663
Mailing address
PO BOX 416170, BOSTON, MA 02241-6170
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007796567
—
PA
Enumeration date
02/17/2006
Last updated
12/09/2025
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