Individual
JASON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2679 HAWTHORNE AVE, UNION, NJ 07083-4927
(908) 687-6136
Mailing address
103 S MUNN AVE, NEWARK, NJ 07106-2114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QAO1009200
NJ
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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