Basic Information
Provider Information
NPI: 1548269020
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: RICHARD
MiddleName: CLAYTON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3435 WINCHESTER RD
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042268
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber:  
Practice Location
Address1: 1097 N CHURCH ST
Address2:  
City: HAZLE TOWNSHIP
State: PA
PostalCode: 18202
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2005
LastUpdateDate: 09/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD015046-EPAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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