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Contact Information

GARY MILLER, MD
100 N MOUNTAIN RD
CANTON, CT06019-2140
 Phone: 860-558-3662
 Fax: 860-693-0888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GARY MILLER · (Male)

NPI Number 1528027430
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 025717
  • CT Medicaid 001257171
  • Other 2469391 AETNA
  • Other 010025717CT01 BCBS
  • Other 01025717 CIGNA
  • Other 705992 CT CARE
  • Other 0407238 EVERCARE
  • Other 0V8223 HEALTHNET
  • Other P44182552 MULTIPLAN
  • Other HAP017 OXFORD
  • Other 061606960 PHCS
  • Other 110233167 RAILROAD MEDICARE
  • Other 061606960 TRICARE
  • Other 0442003 UNITED H C
  • Other 135723 WELLCARE
Hospital affiliation(s)
  • BRISTOL HOSPITAL - (Acute Care)
    BREWSTER RD
    BRISTOL, CT 06010
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
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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