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Individual

DR. STUART MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
999 SILVER LN, 3RD FLOOR, TRUMBULL, CT 06611-5343
(203) 380-5270
(203) 380-5282
Mailing address
999 SILVER LN, 3RD FLOOR, TRUMBULL, CT 06611-5343
(203) 380-5270
(203) 380-5282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
018657
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
18657
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001186576
CT
01
110006333
MEDICARE PTAN
CT
Enumeration date
03/23/2006
Last updated
05/31/2013
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