Provider Demographics
NPI:1265465082
Name:MILLER, DARIN J (MD)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:J
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1011
Mailing Address - Country:US
Mailing Address - Phone:207-351-3578
Mailing Address - Fax:207-351-3579
Practice Address - Street 1:16 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909
Practice Address - Country:US
Practice Address - Phone:207-351-3578
Practice Address - Fax:207-351-3579
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME018969208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036095826Medicaid
020037565OtherRAILROAD MEDICARE
WI32354500Medicaid
020037565OtherRAILROAD MEDICARE
G57903Medicare UPIN