Organization
JOEL P MILLER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY L ORR (BUSINESS MANAGER)
(215) 824-3913
Entity
Organization
Contact information
Practice address
3998 RED LION RD, SUITE 209, PHILADELPHIA, PA 19114-1436
(215) 824-2859
(215) 824-3963
Mailing address
3998 RED LION RD, SUITE 209, PHILADELPHIA, PA 19114-1436
(215) 824-2859
(215) 824-3963
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS003385L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018212320001
—
PA
01
—
0286989000
KEYSTONE HMO GROUP NUMBER
PA
01
—
091359
BLUE SHIELD GROUP NUMBER
PA
01
—
1001272
KEYSTONE MERCY GROUP NUMB
PA
01
—
30571
HEALTH PARTNERS
PA
Enumeration date
06/08/2006
Last updated
09/01/2010
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