| Doctor Name: | MR. S DAVID MILLER |
| NPI Number: | 1063471126 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 74380 |
| Business Practice Address: | 49 State Rd Watuppa Building Suite 203 North Dartmouth, MA - 027473300 |
| Business Phone Number: | 5089940120 |
| Business Fax Number: | 5089969636 |
| Mailing Address: | 49 State Rd, Watuppa Building Suite 203 NORTH DARTMOUTH |
| State: | MA |
| Postal Code: | 027473300 |
| Phone Number: | 5089940120 |
| Fax Number: | 5089969636 |
| NPI Enumeration Date: | 03/18/2006 |
| NPI Last Update Date: | 06/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744R1102X |
| License Number: | 74380 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Research Study |
| Taxonomy Definition: | |