Individual
DR. THOMAS JOSEPH MILLERICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 RESERVOIR AVE STE 103, CRANSTON, RI 02910-4451
(401) 829-4446
(401) 829-4434
Mailing address
725 RESERVOIR AVE STE 103, CRANSTON, RI 02910-4451
(401) 829-4446
(401) 829-4434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07313
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00378
UNITED HEALTH CARE
RI
01
—
050483739
GREAT WEST HEALTH CARE
RI
01
—
12277884
MULTI PLAN
RI
01
—
200893
BLUE CHIP
RI
01
—
2046289
HEALTH CARE VALUE MGT
RI
01
—
2239332
AETNA
RI
01
—
29311-0
BCBS OF RI
RI
01
—
302210
TUFTS HEALTH PLAN
RI
01
—
3888906
CIGNA
RI
01
—
65228
HAVARD HEALTH PLAN
RI
05
—
7057225
—
RI
01
—
709003943
MEDICARE GROUP
RI
Enumeration date
09/29/2005
Last updated
11/05/2024
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