Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA10617600 | NJ |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD468156 | PA |
N | 2086S0105X | Surgery of the Hand | 63953 | MN |
NPI | 1316380314 |
---|---|
Provider Name | Andrew Jason Miller |
First Address | Cherry Hill, NJ 08003-2178 |
Second Address | Cherry Hill, NJ 08003-2178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 31/01/2020 |