Individual
DR. GLENN MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 FAYETTE ST, CONSHOHOCKEN, PA 19428-1701
(610) 828-0358
Mailing address
700 FAYETTE ST, CONSHOHOCKEN, PA 19428-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015152
PA
Other
Enumeration date
05/02/2008
Last updated
06/23/2014
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