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Contact Information

MARY I MILLER, MD
ONE POMPERAUG OFFICE PARK
SUITE 104
SOUTHBURY, CT06488
 Phone: 203-262-6900
 Fax: 203-262-6045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARY I MILLER · (Female)

NPI Number 1063437820
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 034922
  • Other 00134922501 BLUE CARE
  • Other 00134922CT07 BLUE CROSS
  • Other 03492Z CONCTCARE
  • Other 00134922501 FAMILY PLAN
  • Other OR4281 HEALTH NET
  • Other LIP063 OXFORD
Hospital affiliation(s) Not Available
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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