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Contact Information

FRED MILLER III, MD
363 PARK ST
UPPER MONTCLAIR, NJ07043-2237
 Phone: 973-783-1550
 Fax: 973-783-1468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FRED MILLER III · (Male)

NPI # 1811930373
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA03952700
  • NJ Medicaid 3129900
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
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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