Provider Demographics
NPI:1366500407
Name:JOEL M. MILLER M.D. PC
Entity Type:Organization
Organization Name:JOEL M. MILLER M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-242-6633
Mailing Address - Street 1:2 NORTHWESTERN DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3480
Mailing Address - Country:US
Mailing Address - Phone:860-242-6633
Mailing Address - Fax:
Practice Address - Street 1:2 NORTHWESTERN DR STE 300
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3480
Practice Address - Country:US
Practice Address - Phone:860-242-6633
Practice Address - Fax:860-286-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY010015926CT01OtherANTHEM FEP
PA0505863OtherAETNA
CT053027OtherCONNECTICARE
FL110008015OtherMEDICARE PART B
PA2045215OtherAETNA
CT010015926CT01OtherBLUE CROSS BLUE SHIELD CT
CT01215926OtherCIGNA
CTP2522185OtherOXFORD
CT0333001174OtherCONNECTICARE
KY0V7294OtherACS HEALTH NET
KY0V7294OtherACS HEALTH NET
CT01215926OtherCIGNA
KY010015926CT01OtherANTHEM FEP