Organization
KASPER LOEB & MILLER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. MILLER M.D. (VICE PRESIDENT)
(410) 437-4440
Entity
Organization
Contact information
Practice address
8556 FORT SMALLWOOD RD, SUITE A, PASADENA, MD 21122-2634
(410) 437-4440
(410) 437-2282
Mailing address
8556 FORT SMALLWOOD RD, SUITE A, PASADENA, MD 21122-2634
(410) 437-4440
(410) 437-2282
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381182
MEDICARE
MD
01
—
DV3286
RAILROAD MEDICARE
GA
Enumeration date
11/20/2014
Last updated
03/30/2015
Update your record
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