Individual
CHARLES LUTHER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SHREWSBURY PLAZA, SHREWSBURY, NJ 07702-4332
(732) 542-2124
(732) 460-0496
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA2361500
NJ
207U00000X
Nuclear Medicine Physician
25MA2361500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110089519
MEDICARE RAILROAD
—
05
—
2423405
—
NJ
01
—
273678
UNITED HEALTHCARE
NJ
01
—
539441
EMPIRE BCBS OF NY
—
01
—
539442
EMPIRE BCBS OF NY
—
01
—
549791
AETNA
—
01
—
MP178
OXFORD HEALTH PLANS
NJ
01
—
OK4747
HEALTH NET OF NEW JERSEY
—
Enumeration date
11/18/2005
Last updated
12/12/2008
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