SearchNew Jersey171M00000X

Damon Miller

NPI 1538626684 · on the registry since 2019 · sole proprietor

Practice

Address
270 Summit Ave Apt 1
Jersey City, NJ 07306
Phone
(856) 278-9218
Organisation at this address
Fauntix Support Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-28

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