Provider Demographics
NPI:1467897355
Name:MILLER, MARSHALL CURTIS (MD PHD)
Entity Type:Individual
Prefix:
First Name:MARSHALL
Middle Name:CURTIS
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD PHD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:STONY BROOK UFPC
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0988
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:631-638-4170
Practice Address - Street 1:HSC T16 020
Practice Address - Street 2:STONY BROOK UFPC
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8160
Practice Address - Country:US
Practice Address - Phone:631-444-8478
Practice Address - Fax:631-444-7546
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2016-06-07
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY283908-1208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist