Individual
DR. FRED MILLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
363 PARK ST, UPPER MONTCLAIR, NJ 07043-2237
(973) 783-1550
(973) 783-1468
Mailing address
363 PARK ST, UPPER MONTCLAIR, NJ 07043-2237
(973) 783-1550
(973) 783-1468
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA03952700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3129900
—
NJ
Enumeration date
06/13/2006
Last updated
07/08/2007
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