Individual
JORDAN BENNER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1259 S CEDAR CREST BLVD STE 230, ALLENTOWN, PA 18103-6376
(610) 402-5900
(610) 402-4650
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD486195
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT221565
PA
Other
Enumeration date
06/14/2020
Last updated
08/08/2024
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