Organization
CHAIR CITY FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRYAN MILLER III MD (PRESIDENT)
(978) 630-4455
Entity
Organization
Contact information
Practice address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 630-4455
(978) 669-0046
Mailing address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 630-4455
(978) 669-0046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9716530
—
MA
Enumeration date
03/14/2006
Last updated
06/20/2012
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