Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | MD456374 | PA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD456374 | PA |
NPI | 1477995660 |
---|---|
Provider Name | Dr. Nathan Miller |
First Address | Allentown, PA 18103-5622 |
Second Address | Allentown, PA 18103-6268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2013 |
Last Update Date | 08/10/2020 |