Provider Demographics
NPI:1336464049
Name:MILLER, ASHLEY J (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:J
Last Name:MILLER
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-4108
Mailing Address - Country:US
Mailing Address - Phone:610-567-5265
Mailing Address - Fax:610-567-6955
Practice Address - Street 1:500 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 1020
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1353
Practice Address - Country:US
Practice Address - Phone:610-941-4208
Practice Address - Fax:610-941-4158
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2019-08-16
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Provider Licenses
StateLicense IDTaxonomies
MI5101024248207Q00000X
MDH85838207Q00000X
NY295157207Q00000X
MA277254207Q00000X
TXR9398207Q00000X
PAOS015831207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine