Provider Demographics
NPI:1346272861
Name:MILLER, CHARLOTTE HARWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:HARWARD
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:HARWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:395 SOUTHAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1324
Mailing Address - Country:US
Mailing Address - Phone:413-533-2900
Mailing Address - Fax:413-536-4519
Practice Address - Street 1:395 SOUTHAMPTON RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1324
Practice Address - Country:US
Practice Address - Phone:413-533-2900
Practice Address - Fax:413-536-4519
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154684208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3197646Medicaid
MA3197646Medicaid