Individual
JACOB C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 215, ALLENTOWN, PA 18103-6271
(610) 402-6986
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065450
PA
Other
Enumeration date
02/20/2024
Last updated
05/06/2024
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