Individual
STANTON B. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
11 INDUSTRIAL BLVD, PAOLI POINTE BUILDING, SUITE 103, PAOLI, PA 19301-1632
(484) 565-1293
(610) 296-5437
Mailing address
11 INDUSTRIAL BLVD, PAOLI POINTE BUILDING, SUITE 103, PAOLI, PA 19301-1632
(484) 565-1293
(610) 296-5437
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD025555E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD025555E
MEDICAL LICENSE
PA
Enumeration date
07/18/2006
Last updated
07/08/2011
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