Basic Information
Provider Information
NPI: 1164431201
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: E. CATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17 CAMERON DR
Address2:  
City: NASHUA
State: NH
PostalCode: 030622500
CountryCode: US
TelephoneNumber: 6172543800
FaxNumber:  
Practice Location
Address1: FRANCISCAN HOSPITAL FOR CHILDREN
Address2: 30 WARREN STREET
City: BRIGHTON
State: MA
PostalCode: 02135
CountryCode: US
TelephoneNumber: 6172543800
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X74948MAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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