Individual
NANCY S. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
670 ALBANY ST, FLOOR 3, SUITE 304, BOSTON, MA 02118-2646
(617) 414-5314
(617) 414-5315
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
222886
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
222886
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110039634A
—
MA
Enumeration date
02/09/2006
Last updated
09/27/2017
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