Individual
DR. EZRA ROSS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, PBB CA 3, BOSTON, MA 02115-6110
(617) 732-7420
(617) 732-7421
Mailing address
75 FRANCIS ST, PBB CA 3, BOSTON, MA 02115-6110
(617) 732-7420
(617) 732-7421
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
259371
MA
207RP1001X
Pulmonary Disease Physician
Primary
259371
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2010
Last updated
05/16/2017
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