Individual
DR. LINCOLN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 PLEASANT VALLEY WAY, SUITE 201, WEST ORANGE, NJ 07052-2956
(973) 966-6400
(973) 514-1587
Mailing address
PO BOX 1268, MADISON, NJ 07940-8268
(973) 966-6400
(973) 514-1587
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA06528400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7230800
—
NJ
Enumeration date
03/31/2006
Last updated
06/16/2011
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