Individual
MICHAEL S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016049
NEIGHBORHOOD HEALTH PLAN
—
01
—
0440324
UNITED HEALTHCARE (PPO)
—
01
—
110132397
RAILROAD MEDICARE
—
01
—
27575
CHILDREN'S MED. SECURITY
—
01
—
3059791
MAS HEALTH
—
01
—
61402
HARVARD PILGRIM POS
—
01
—
6747246
HEALTHSOURCE MA
—
01
—
760135
TUFTS COMMONWEALTH PPO
—
01
—
E38734
FIRST SENIORITY
—
01
—
J09491
BLUE SHIELD-INDEMNITY
—
Enumeration date
09/08/2005
Last updated
04/29/2015
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