Individual
KEVIN D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 HOSPITAL PLAZA, SUITE 603, STAMFORD, CT 06902-3602
(203) 276-5959
(203) 276-5969
Mailing address
29 HOSPITAL PLAZA, SUITE 603, STAMFORD, CT 06902-3602
(203) 276-5959
(203) 276-5969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
037764
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001377648
—
CT
Enumeration date
02/28/2007
Last updated
01/13/2017
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