Individual
JEAN C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-2614
(215) 662-6250
(215) 349-5800
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-2614
(215) 662-6250
(215) 349-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD062703L
PA
208M00000X
Hospitalist Physician
Primary
MD062703L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016993320001
—
PA
Enumeration date
10/13/2005
Last updated
05/01/2019
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