Organization
MERRIMACK FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD H MILLER MD (PRESIDENT)
(978) 851-4141
Entity
Organization
Contact information
Practice address
170 MAIN STREET, SUITE 606, TEWKSBURY, MA 01876
(978) 851-4141
Mailing address
170 MAIN STREET, SUITE 606, TEWKSBURY, MA 01876
(978) 851-4141
(978) 640-9840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9763473
—
MA
Enumeration date
12/12/2007
Last updated
12/12/2007
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