Basic Information
| Provider Information | |||||||||
| NPI: | 1336464049 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 W ELM ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CONSHOHOCKEN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194284108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105675265 | ||||||||
| FaxNumber: | 6105676955 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 W GERMANTOWN PIKE | ||||||||
| Address2: | SUITE 1020 | ||||||||
| City: | PLYMOUTH MEETING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194621353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6109414208 | ||||||||
| FaxNumber: | 6109414158 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2010 | ||||||||
| LastUpdateDate: | 08/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5101024248 | MI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | H85838 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 295157 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 277254 | MA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | R9398 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS015831 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.