Individual
DR. GARY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MOUNTAIN RD, CANTON, CT 06019-2140
(860) 558-3662
(860) 693-0888
Mailing address
100 N MOUNTAIN RD, CANTON, CT 06019-2140
(860) 558-3662
(860) 693-0888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025717
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001257171
—
CT
01
—
010025717CT01
BCBS
—
01
—
01025717
CIGNA
—
01
—
0407238
EVERCARE
—
01
—
0442003
UNITED H C
—
01
—
061606960
PHCS
—
01
—
0V8223
HEALTHNET
—
01
—
110233167
RAILROAD MEDICARE
—
01
—
135723
WELLCARE
—
01
—
2469391
AETNA
—
01
—
705992
CT CARE
—
01
—
HAP017
OXFORD
—
01
—
P44182552
MULTIPLAN
—
Enumeration date
03/20/2006
Last updated
03/07/2023
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