Active NPIIndividual provider

Dr. Debra R Miller, MD

Dermatology in New London, Connecticut

NPI Number1558369215
Practice location
53 Granite St, New London, CT 06320-5917
Fax
860-442-2604
Last updated
June 27, 2008

Debra R Miller is a Dermatology based in New London, CT. Debra R Miller practices in New London, CT and has the professional credentials of MD. The NPI Number for Debra R Miller is 1558369215 and holds a License No. 036169 (CT). The current practice location address for Debra R Miller is 53 Granite St, New London, CT 06320-5917 and can be reached out via phone at 860-447-1419 and via fax at 860-442-2604.

Provider Profile Details

NPI Number
1558369215
Provider Name
Debra R Miller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
53 Granite St, New London, CT 06320-5917
Phone Number
860-447-1419
Fax Number
860-442-2604
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2005
Last Update Date
June 27, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
53 Granite St
New London, CT 06320-5917
Zip
06320-5917
Phone Number
860-447-1419
Fax Number
860-442-2604
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
53 Granite St
New London, CT 06320-5917
City
New London
State
CT
Zip
06320-5917
Phone Number
860-447-1419
Fax Number
860-442-2604

License Information

License Number (1)
036169
License State (1)
CT
Taxonomy (1)
Dermatology · 207N00000X · Primary
License Number (2)
036169
License State (2)
CT
Taxonomy (2)
Dermatology, Procedural Dermatology · 207NS0135X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Debra R Miller, MD?

The NPI number of Dr. Debra R Miller, MD is 1558369215. It was assigned on July 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Debra R Miller, MD?

Dr. Debra R Miller, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 036169.

Where does Dr. Debra R Miller, MD practice?

The practice location is 53 Granite St, New London, CT 06320-5917. The office can be reached at 860-447-1419 (phone) or 860-442-2604 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558369215 directly on the NPPES registry website.

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