Individual
DOUGLAS T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 LEWIS AVE, SUITE 106, MERIDEN, CT 06451-2121
(203) 886-0036
(203) 886-0072
Mailing address
2139 SILAS DEANE HWY, ROCKY HILL, CT 06067-2336
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
028917
CT
207RG0100X
Gastroenterology Physician
Primary
028917
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001289174
—
CT
Enumeration date
07/26/2006
Last updated
08/19/2011
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