Individual
RANDALL W. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1170 CLIFTON AVE, CLIFTON, NJ 07013-3622
(973) 472-0220
(973) 779-5306
Mailing address
1170 CLIFTON AVE, CLIFTON, NJ 07013-3622
(973) 472-0220
(973) 779-5306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35137
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0675510001
DMERC
NJ
05
—
3304507
—
NJ
Enumeration date
12/15/2006
Last updated
04/03/2008
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