Individual
JOEL PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3998 RED LION ROAD, SUITE 207, PHILADELPHIA, PA 19114-1440
(215) 824-2859
(215) 824-3963
Mailing address
3998 RED LION ROAD, SUITE 207, PHILADELPHIA, PA 19114-1440
(215) 824-3913
(215) 824-3963
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS003385L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055022000
KEYSTONE
PA
05
—
0182123200010
—
PA
05
—
1001272
—
PA
01
—
1052527002
CIGNA
PA
01
—
2576
AETNA US HEALTHCARE
PA
01
—
635450
BLUE SHIELD
PA
Enumeration date
08/15/2005
Last updated
11/09/2016
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