Individual
MICHAEL E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 BOYLSTON ST, 6TH FL, BOSTON, MA 02116-3607
(617) 414-9600
(617) 262-7015
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46024
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000763A
—
MA
Enumeration date
05/20/2006
Last updated
08/11/2016
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