Individual
GEORGE BRUCE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3101 EMRICK BLVD, SUITE 112, BETHLEHEM, PA 18020-8037
(610) 419-6426
(610) 419-6427
Mailing address
3101 EMRICK BLVD, SUITE 112, BETHLEHEM, PA 18020-8037
(484) 822-5570
(484) 822-5604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002988L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007792600004
—
PA
01
—
124222
HIGHMARK PIN
PA
Enumeration date
08/16/2005
Last updated
06/10/2022
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