Individual
MRS. JULIA SULLIVAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PH D
Contact information
Practice address
1150 AMBOY AVE, EDISON, NJ 08837-2500
(732) 548-3200
(732) 548-1919
Mailing address
1150 AMBOY AVE, EDISON, NJ 08837-2500
(732) 548-3200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07578700
NJ
208D00000X
General Practice Physician
220593-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3214351
AETNA
NJ
01
—
P3033065
OXFORD
NJ
Enumeration date
08/02/2006
Last updated
11/19/2008
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