Organization
DEBRA R MILLER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA ROSE MILLER M.D. (SOLE MEMBER)
(860) 447-1419
Entity
Organization
Contact information
Practice address
53 GRANITE ST, NEW LONDON, CT 06320-5945
(860) 447-1419
(860) 442-2604
Mailing address
53 GRANITE ST, NEW LONDON, CT 06320-5945
(860) 447-1419
(860) 442-2604
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001361691
—
CT
Enumeration date
12/14/2009
Last updated
12/14/2009
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