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Individual

ALEXANDER RON MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
264 ELM ST, NORTHAMPTON, MA 01060-2857
(413) 586-3232
(413) 582-7092
Mailing address
264 ELM ST, NORTHAMPTON, MA 01060-2857
(413) 586-3232
(413) 582-7092

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56528
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056528
TUFTS
MA
01
565281
CONNECTICARE
MA
Enumeration date
10/05/2005
Last updated
07/08/2007
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