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Individual

DR. GEORGE WALTER MILLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
799 BLOOMFIELD AVE STE 201, VERONA, NJ 07044-1301
(973) 746-7050
(973) 857-2831
Mailing address
33 MOUNTAINSIDE DR, WAYNE, NJ 07470-4208
(973) 628-0427
(973) 872-0096

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03913700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7241607
NJ
Enumeration date
06/15/2005
Last updated
12/11/2012
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