Individual
SANDRENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
22 BALL ST, IRVINGTON, NJ 07111-3521
(973) 371-1600
Mailing address
202 ELMWYND DR, ORANGE, NJ 07050-3111
(973) 672-1722
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MA05569500
NJ
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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