| Mr S David Miller, MD | |
|
49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 | |
| (508) 994-0120 | |
| (508) 996-9636 |
| Full Name | Mr S David Miller |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 49 State Rd, North Dartmouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063471126 | NPI | - | NPPES |
| 3078299 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 74380 (Massachusetts) | Primary |
| 1744R1102X | Specialist - Research Study | 74380 (Massachusetts) | Secondary |
| Entity Name | Allergy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295151322 PECOS PAC ID: 9436472701 Enrollment ID: O20141218001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr S David Miller, MD 49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 Ph: (508) 994-0120 | Mr S David Miller, MD 49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 Ph: (508) 994-0120 |
Alan Jeffrey Katz, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 49 State Rd, Watuppa Bldg Ste 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636 | |
Mr. John P Mcguire, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Watuppa Building Suite 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636 | |
Mrs. Kathy M Dietlin, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Watuppa Building Suite 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636 |