Individual
ERIC BRADLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BUILDING 14, E PROVIDENCE, RI 02914-5300
(401) 435-6600
Mailing address
58 ALBERT AVE, CRANSTON, RI 02905-3810
(401) 435-6600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD08216
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20354
BLUE SHIELD
RI
05
—
9020122
—
RI
Enumeration date
09/11/2006
Last updated
01/28/2013
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