Individual
LAWRENCE S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 VICTORIA ST, GLASSBORO, NJ 08028-2278
(856) 536-1475
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA74564
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052412000
KEYSTONE/IBC
PA
01
—
010004388
AMERICHOICE
NJ
01
—
1072456
CIGNA
NJ
01
—
1447021
AMERIHEALTH PPO/BLUE SHIELD
NJ
01
—
2130421000
AMERIHEALTH/KEYSTON/IBC
NJ
01
—
2937750
AETNA
NJ
01
—
3K5446
HEALTHNET
NJ
01
—
42384
UNIVERSITY HEALTH PLAN
NJ
01
—
426719
UNITED HEALTHCARE
NJ
05
—
8939403
—
NJ
01
—
P395850
OXFORD
NJ
Enumeration date
11/01/2006
Last updated
02/04/2020
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