Individual
DR. ANDREW LEVI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 240-0875
Mailing address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD420663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014469000
—
MD
05
—
101780123
—
PA
01
—
103831
GEISINGER
PA
01
—
1441117
HIGHMARK BLUE SHIELD-WSMG
PA
01
—
1541162
GATEWAY-WMG
PA
01
—
196194
UNISON-WMG
PA
01
—
20058876
AMERIHEALTH MERCY-WMG
PA
01
—
2125243000
AMERIHEALTH 65 PA
PA
01
—
2161249
MAMSI-WMG
PA
01
—
50064532
CAPITAL BLUE CROSS-(WSMG)
PA
01
—
7661240
AETNA
PA
01
—
891089
CAREFIRST MD BCBS
MD
Enumeration date
07/31/2006
Last updated
12/29/2009
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