Individual
ELLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
825 TOWN CENTER DR, SUITE 152, LANGHORNE, PA 19047-1753
(215) 741-3510
(215) 741-3519
Mailing address
PO BOX 538, LEVITTOWN, PA 19058-0538
(215) 741-3510
(215) 741-3519
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS004869L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010631400002
—
PA
Enumeration date
05/31/2006
Last updated
02/25/2013
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