Organization Name: | DR GLENN GALBRAITH MILLER, MEDICINE PC |
NPI Number: | 1144481433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN GALBRAITH MILLER (DOCTOR) |
Mailing Address: | 700 Fayette St Conshohocken |
State: | PA US |
Postal Code: | 194281707 |
Phone Number: | 6108259665 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | OS004427L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |