Individual
RONALD L. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Mailing address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
022944
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022944
CIGNA
CT
01
—
1972740124
TRICARE
CT
05
—
1972740124
—
CT
01
—
2237728
COVENTRY
CT
01
—
4125132
AETNA
CT
01
—
905555
WELLCARE
CT
01
—
P00849949
RR MEDICARE
CT
01
—
P4193701
OXFORD
CT
Enumeration date
01/09/2009
Last updated
03/30/2017
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