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Individual

EDWARD J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7641 MARKET ST, SUITE 2, YOUNGSTOWN, OH 44512-6010
(330) 884-2444
(330) 965-4836
Mailing address
7629 MARKET ST, SUITE 200, YOUNGSTOWN, OH 44512-6075
(330) 965-4540
(330) 965-4559

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069170
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2110003
OH
Enumeration date
03/10/2006
Last updated
04/14/2015
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