Individual
JACK A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
384 WEST RD, ALFORD, MA 01266-9756
(413) 644-9755
Mailing address
384 WEST RD, ALFORD, MA 01266-9756
(413) 644-9755
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56010
MA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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