| Dr Leslie R Miller Pc | |
|
52 Beach Rd Fairfield CT 06824-6017 | |
| (203) 256-9905 | |
| (203) 254-9848 |
| Full Name | Dr Leslie R Miller Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 52 Beach Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Leslie Robin Miller (OWNER, MEDICAL PROVIDER) |
| Authorized Official Contact | 2032569905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslie R Miller Pc 52 Beach Rd Fairfield CT 06824-6017 Ph: (203) 256-9905 | Dr Leslie R Miller Pc 52 Beach Rd Fairfield CT 06824-6017 Ph: (203) 256-9905 |
| NPI Number | 1003082009 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 07/14/2008 |
| Medicare PECOS PAC ID | 5991875346 |
|---|---|
| Medicare Enrollment ID | O20080528000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003082009 | NPI | - | NPPES |
| 0000126988506 | Other | CT | GOLDEN RULE |
| 001269885005 | Other | CT | UNITED HEALTH CARE |
| 003988 | Other | CT | HEALTHNET |
| 04000261CT09 | Other | CT | ANTHEM |
| 779677 | Other | CONNECTCARE | |
| 736792 | Other | CT | CIGNA |
| ZP476 | Other | CT | OXFORD |
| 4332333 | Other | CT | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie R Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225241359 PECOS PAC ID: 6002986452 Enrollment ID: I20080528000549 |
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