Provider Demographics
NPI:1295765774
Name:MILLER, JOHN P (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9512 HARFORD RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3125
Mailing Address - Country:US
Mailing Address - Phone:410-661-4800
Mailing Address - Fax:410-882-2133
Practice Address - Street 1:9512 HARFORD RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-3125
Practice Address - Country:US
Practice Address - Phone:410-661-4800
Practice Address - Fax:410-882-2133
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2022-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0021078207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDBL39OtherCAREFIRST
MD795951600Medicaid
MDP02598346OtherGBA RAILROAD MEDICARE
DCBL39OtherCAREFIRST