Individual
GEOFFREY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB CHB
Contact information
Practice address
20 YORK ST, YNHH CHILDREN'S HOSPITAL - WP-2, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 785-3833
Mailing address
20 YORK ST, YNHH CHILDREN'S HOSPITAL - WP-2, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 785-3833
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
042793
CT
2084P0005X
Neurodevelopmental Disabilities Physician
042793
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001427930
—
CT
Enumeration date
12/05/2005
Last updated
03/16/2011
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