Individual
DR. JOHN H MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
(802) 847-0000
Mailing address
PO BOX 1063, BURLINGTON, VT 05402-1063
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0010375
VT
207R00000X
Internal Medicine Physician
224571101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000404191002
BS OF NENY
NY
05
—
02315295
—
NY
01
—
110242711
RAILROAD MEDICARE
NY
01
—
114406
VALUE OPTIONS
NY
01
—
141338471
FIDELIS
NY
01
—
602938
MVP
NY
01
—
7064698
AETNA
NM
01
—
JM055S6810
EMPIRE BC/BS
NY
01
—
P010224571
EXCELLUS UTICA WATERTOWN
NY
Enumeration date
10/06/2006
Last updated
06/29/2011
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