Provider Demographics
NPI:1750725040
Name:MILLER, JOHN W JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:MILLER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:3300 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1112
Practice Address - Country:US
Practice Address - Phone:413-794-7364
Practice Address - Fax:413-794-7482
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2020-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY285151207RG0100X
MA283832207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology