Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 005018 | CT |
NPI | 1033275698 |
---|---|
Provider Name | Dr. Harvey Stuart Miller |
First Address | Danbury, CT 06811-4821 |
Second Address | Danbury, CT 06811-4821 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |