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Contact Information

JASON H MILLER, MD
77 SCHANCK RD # 55
SUITE B-3
FREEHOLD TOWNSHIP, NJ07728-2964
 Phone: 732-462-9800
 Fax: 732-308-1647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JASON H MILLER · (Male)

NPI # 1679712418
Status Active
Credentials MD
Entity Individual
Enumeration date 02/18/2009
Last updated 09/01/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08560500
  • NJ Other 158106CVR CMS-MEDICARE GROUP MEMBER PTAN
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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