Individual
JEREMY ADAM MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 TERRACE AVE STE 311, HASBROUCK HEIGHTS, NJ 07604-3112
(201) 288-4252
Mailing address
777 TERRACE AVE STE 311, HASBROUCK HEIGHTS, NJ 07604-3112
(201) 288-4252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
300073
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA11682800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902543
—
NJ
Enumeration date
05/11/2016
Last updated
12/29/2023
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