Individual provider · Type 1 NPI

Dylan Miller, PA-C

Medical Physician Assistant · Newark, NJ

NPI number 1386405405 Active

Practice location

111 Central Ave
Newark, NJ 07102-1909

Mailing address

49 Lovel Ct Unit A
Nutley, NJ 07110-5381

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700X25MP00860300 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1386405405

Dylan Miller, PA-C's National Provider Identifier is 1386405405, issued on Jan 16, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, NJ. The record was last updated on Feb 11, 2025.