Individual
MARK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 215, ALLENTOWN, PA 18103-6271
(610) 402-6986
Mailing address
880 CLEARVIEW LN, BETHLEHEM, PA 18017-2320
(610) 984-3156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA065807
PA
363AM0700X
Medical Physician Assistant
Primary
MA065807
PA
Other
Enumeration date
09/18/2024
Last updated
07/21/2025
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