Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | C10004525 | DE |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | C10004525 | DE |
NPI | 1205802188 |
---|---|
Provider Name | Dr. Raymond E Miller |
First Address | Dover, DE 19901-3530 |
Second Address | Dover, DE 19904-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 21/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205802188 | (05) | DE |
6415077ZA5H | (02) | DE |
E54288 | (02) |