Individual
MR. JOSHUA R MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, SURGERY, HARTFORD, CT 06105-1208
(860) 714-5237
Mailing address
361 BROOKE MEADOW RD, KENSINGTON, CT 06037-2811
(860) 690-6325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001974
CT
363AS0400X
Surgical Physician Assistant
Primary
001974
CT
Other
Enumeration date
09/27/2007
Last updated
11/24/2015
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