Benetta Miller, M.D.

Surgery Physician · Hoboken, NJ

Individual Active NPI

NPI number 1316079239

Practice location

330 Grand St
Suite 100
Hoboken, NJ 07030-2728
Phone
(201) 420-7903

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NPI record

NPI
1316079239
Entity type
Individual (Type 1)
Enumeration date
March 9, 2007
Last updated
July 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 25MA04783600 NJ
Specialist 174400000X 047836 NJ

Mailing address

502 Prospect St
Maplewood, NJ 07040-1304
Phone
(973) 378-2045

About Dr. Miller

Benetta Miller, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 330 Grand St, Suite 100, Hoboken, NJ 07030-2728. The NPI number 1316079239 was assigned on March 9, 2007 and the record was last updated on July 21, 2022.

Dr. Miller lists 2 licenses in the registry: #25MA04783600 (NJ) for Surgery Physician; #047836 (NJ) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benetta Miller, M.D.?

The NPI number is 1316079239.

What is the phone number of Dr. Miller?

The phone number listed for the practice location is (201) 420-7903.

Where is Dr. Miller located?

330 Grand St, Suite 100, Hoboken, NJ 07030-2728.

What is the taxonomy code for Dr. Miller?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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