SearchNew Jersey122300000X

Mark Miller

NPI 1386124873 · on the registry since 2018 · sole proprietor

Practice

Address
558 E Bay Ave
Manahawkin, NJ 08050
Phone
(609) 597-3500

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey