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Individual

DR. MATTHEW JAMES MILES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3773
(518) 262-3236
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3773
(518) 262-3236

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
229291
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02425125
NY
Enumeration date
09/02/2005
Last updated
07/08/2007
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