Miller, David M

Miller, David M is an individual health care provider with primary practice located at 480 Lincoln Ave Suite 103, Saugus MA 01906-3776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, David M can be contacted via phone (781) 941-2241.

Contact Information

Primary practice address
480 Lincoln Ave Suite 103 Saugus MA 01906-3776
Fax: (781) 941-2240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 204389 Massachusetts

Profile Details

NPI number 1275547622
LBN Legal business name Miller, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275547622 NPPES
Massachusetts Other 204389 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0121771 TUFTS HEALTH PLAN
Massachusetts Other J22825 TUFTS HEALTH PLAN

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