Miller, Thomas Bryan

Miller, Thomas Bryan is an individual health care provider with primary practice located at 266 Main St , Gardner MA 01440-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Thomas Bryan can be contacted via phone (978) 630-5030.

Contact Information

Primary practice address
266 Main St Gardner MA 01440-2927
Phone: (978) 630-5030
Fax: (978) 630-5033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 203841 Massachusetts

Profile Details

NPI number 1588632723
LBN Legal business name Miller, Thomas Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588632723 NPPES
Massachusetts MEDICAID 9716530

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