Individual
DR. DEBRA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
53 GRANITE ST, NEW LONDON, CT 06320-5917
(860) 447-1419
(860) 442-2604
Mailing address
53 GRANITE ST, NEW LONDON, CT 06320-5917
(860) 447-1419
(860) 442-2604
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036169
CT
207NS0135X
Procedural Dermatology Physician
036169
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001361691
—
CT
Enumeration date
07/07/2005
Last updated
06/27/2008
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