Individual
MR. JONATHAN D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(302) 733-2666
Mailing address
4755 OGLETOWN STANTON RD, SUITE 128 MAP 1, NEWARK, DE 19713
(302) 733-1000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C5-0000433
DE
Other
Enumeration date
04/07/2007
Last updated
10/05/2009
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