Individual
DR. MITCHELL A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, RADIOLOGY DEPT, HACKENSACK, NJ 07601-1914
(000) 000-0000
Mailing address
130 KINDERKAMACK RD STE 200, RIVER EDGE, NJ 07661-1951
(201) 488-2660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06406000
NJ
Other
Enumeration date
12/15/2005
Last updated
06/29/2020
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