Individual
PAUL M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-2000
(215) 214-4119
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 728-2000
(215) 214-4119
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS004829L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002524501
AMERICHOICE
PA
05
—
001005781
—
PA
01
—
0054269000
INDEPENDENCE BLUE CROSS
PA
01
—
114738
HIGHMARK BLUE SHIELD
PA
01
—
1509
BRAVO HEALTH
PA
01
—
30008822
KEYSTONE MERCY HEALTH
PA
01
—
3466018
AETNA HMO
PA
01
—
4576798
AETNA PPO
PA
01
—
544679
COVENTRY HEALTH AMERICA
PA
01
—
P00055488
RAILROAD MEDICARE
PA
Enumeration date
12/06/2005
Last updated
09/30/2013
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