Mr S David Miller, MD | |
49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 | |
(508) 994-0120 | |
(508) 996-9636 |
Full Name | Mr S David Miller |
---|---|
Gender | Male |
Speciality | Allergy & Immunology |
Location | 49 State Rd, North Dartmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063471126 | NPI | - | NPPES |
3078299 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 74380 (Massachusetts) | Primary |
1744R1102X | Specialist - Research Study | 74380 (Massachusetts) | Secondary |
Entity Name | Allergy Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295151322 PECOS PAC ID: 9436472701 Enrollment ID: O20141218001036 |
Mailing Address | Practice Location Address |
---|---|
Mr S David Miller, MD 49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 Ph: (508) 994-0120 | Mr S David Miller, MD 49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 Ph: (508) 994-0120 |
Alan Jeffrey Katz, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 49 State Rd, Watuppa Bldg Ste 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636 | |
Mr. John P Mcguire, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Watuppa Building Suite 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636 | |
Mrs. Kathy M Dietlin, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Watuppa Building Suite 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636 | |
Paul Chervinsky, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747 Phone: 508-992-7595 Fax: 508-996-9636 |