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Individual

DR. LESLIE ROBIN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
52 BEACH RD, STE 102, FAIRFIELD, CT 06824-6017
(203) 256-9905
(203) 254-9848
Mailing address
52 BEACH RD, STE 102, FAIRFIELD, CT 06824-6017
(203) 256-9905
(203) 254-9848

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000261
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000261
CT LICENSE
CT
01
040000261CT09
ANTHEM BLUE CROSS
CT
Enumeration date
05/07/2007
Last updated
05/20/2008
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