Individual
DR. EDWARD MARVIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BUILDING 3RD FLOOR, BALTIMORE, MD 21239-2905
(410) 464-5618
(410) 435-5367
Mailing address
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BUILDING 3RD FLOOR, BALTIMORE, MD 21239-2905
(410) 464-5618
(410) 435-5367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0019423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961731100
—
MD
Enumeration date
09/21/2005
Last updated
09/23/2010
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