Individual
DYLAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
Mailing address
49 LOVEL CT UNIT A, NUTLEY, NJ 07110-5381
(702) 622-9635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00860300
NJ
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
01/16/2024
Last updated
02/11/2025
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