Provider Demographics
NPI:1407896178
Name:MILLER, GERALD MOLNAR (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:MOLNAR
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 1:430 ROCKHILL CIR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-1702
Mailing Address - Country:US
Mailing Address - Phone:610-360-8387
Mailing Address - Fax:610-821-9577
Practice Address - Street 1:451 W CHEW ST
Practice Address - Street 2:SUITE 304
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3472
Practice Address - Country:US
Practice Address - Phone:610-821-2818
Practice Address - Fax:610-821-9577
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013862E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD71383Medicare UPIN
PA179877Medicare PIN