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Individual

GERALD E MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1159 RIVER RD, MARIETTA, PA 17547-1628
(717) 426-1131
(717) 426-2068
Mailing address
1159 RIVER RD, MARIETTA, PA 17547-1628
(717) 426-1131
(717) 426-2068

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019845E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006954000001
PA
01
007751
HIGHMARK BLUE SHIELD
PA
01
01332001
CAPITAL BLUE CROSS
PA
01
34994 S1QK
GEISINGER HEALTH PLAN
PA
01
535943
AETNA HMO
PA
01
5502498
AETNA NON-HMO
PA
01
C30214
HEALTH ASSURANCE
PA
01
P002638
GATEWAY HEALTH PLAN
PA
Enumeration date
12/21/2005
Last updated
10/29/2007
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