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Contact Information

LARRY MILLER, MD
3401 N BROAD ST
PHILADELPHIA, PA19140-5103
 Phone: 215-707-9900
 Fax: 215-707-3831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for LARRY MILLER · (Male)

NPI Number 1083601926
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2005
Last updated 01/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD042159L
  • PA Medicaid 0012194740003
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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