Individual
DR. EDWARD J MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
121 E 60TH ST, SUITE 7A, NEW YORK, NY 10022-1117
(212) 838-5895
(212) 838-6007
Mailing address
121 E 60TH ST, SUITE 7A, NEW YORK, NY 10022-1117
(212) 838-5895
(212) 838-6007
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
044671
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
004671
NY
Other
Enumeration date
01/04/2007
Last updated
09/02/2015
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