Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 258315 | MA |
N | 111NI0900X | Internist | 258315 | MA |
Y | 207RX0202X | Medical Oncology | 258315 | MA |
NPI | 1053601054 |
---|---|
Provider Name | Brian Christopher Miller |
First Address | Boston, MA 02215-5418 |
Second Address | Boston, MA 02215-5418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 01/12/2021 |