Individual
DR. MONICA L MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 CENTRE STREET, BROCKTON, MA 02302-3395
(508) 941-7000
(508) 941-6337
Mailing address
680 CENTRE STREET, BROCKTON, MA 02302-3395
(508) 941-7000
(508) 941-6337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
243259
MA
2084P0800X
Psychiatry Physician
47729
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911458100
—
MN
Enumeration date
05/12/2006
Last updated
04/26/2010
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