Individual
MR. TIMOTHY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 HAWTHORNE DR, BEDFORD, NH 03110-6983
(603) 472-8888
(603) 472-9090
Mailing address
4 HAWTHORNE DR, BEDFORD, NH 03110-6983
(603) 472-8888
(603) 472-9090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1268
NH
363A00000X
Physician Assistant
PA5793
MA
363AS0400X
Surgical Physician Assistant
1268
NH
Other
Enumeration date
04/06/2016
Last updated
07/21/2022
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