| Lincoln P Miller Md Llc | |
|
1500 Pleasant Valley Way Ste 201 West Orange NJ 07052-2956 | |
| (973) 966-6400 | |
| Not Available |
| Full Name | Lincoln P Miller Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Pleasant Valley Way, West Orange, New Jersey |
| Authorized Official Name and Position | Lincoln Miller (OWNER) |
| Authorized Official Contact | 9739666400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln P Miller Md Llc Po Box 1268 Madison NJ 07940-8268 Ph: (973) 966-6400 | Lincoln P Miller Md Llc 1500 Pleasant Valley Way Ste 201 West Orange NJ 07052-2956 Ph: (973) 966-6400 |
| NPI Number | 1740236686 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/16/2011 |
| Medicare PECOS PAC ID | 1759460611 |
|---|---|
| Medicare Enrollment ID | O20080502000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740236686 | NPI | - | NPPES |
| 7230800 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA06528400 (New Jersey) | Primary |
| Provider Name | Lincoln P Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073574661 PECOS PAC ID: 7214016179 Enrollment ID: I20080502000381 |
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